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Primary medical care and reductions in addiction severity: a prospective cohort study

Saitz, Richard ; Horton, Nicholas J. ; Larson, Mary Jo ; Winter, Michael ; Samet, Jeffrey H.

Addiction (Abingdon, England), 2005-01, Vol.100 (1), p.70-78 [Periódico revisado por pares]

Oxford, UK: Blackwell Science Ltd

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Título:
Primary medical care and reductions in addiction severity: a prospective cohort study
Autor: Saitz, Richard ; Horton, Nicholas J. ; Larson, Mary Jo ; Winter, Michael ; Samet, Jeffrey H.
Assuntos: Addiction ; Addictive behaviors ; Adult ; Adult and adolescent clinical studies ; Alcoholism ; Biological and medical sciences ; Case studies ; Clinical outcomes ; Cohort Studies ; Delivery of Health Care, Integrated ; Drug addiction ; Female ; Health ; Health services ; Humans ; Male ; Medical care ; Medical sciences ; Predictors ; Primary care ; Primary Health Care ; Prospective Studies ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Reduction ; Severity ; severity of illness ; Severity of Illness Index ; Social problems ; Substance abuse ; Substance abuse treatment ; Substance Abuse Treatment Centers ; Substance abusers ; Substance-Related Disorders - prevention & control ; Toxicology ; Treatment Outcome ; USA
É parte de: Addiction (Abingdon, England), 2005-01, Vol.100 (1), p.70-78
Notas: ark:/67375/WNG-7FL77V5G-H
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Descrição: ABSTRACT Aims To assess whether receipt of primary medical care can lead to improved outcomes for adults with addictions. Design We studied a prospective cohort of adults enrolled in a randomized trial to improve linkage with primary medical care. Methods Subjects at a residential detoxification unit with alcohol, heroin or cocaine as a substance of choice, and no primary medical care were enrolled. Receipt of primary medical care was assessed over 2 years. Outcomes included (1) alcohol severity, (2) drug severity and (3) any substance use. Findings For the 391 subjects, receipt of primary care (≥2 visits) was associated with a lower odds of drug use or alcohol intoxication (adjusted odds ratio (AOR) 0.45, 95% confidence interval (CI) 0.29–0.69, 2 d.f. χ2P = 0.002). For 248 subjects with alcohol as a substance of choice, alcohol severity was lower in those who received primary care [predicted mean Addiction Severity Index (ASI) alcohol scores for those reporting ≥ 2, 1 and 0 visits, respectively, 0.30, 0.26 and 0.34, P = 0.04]. For 300 subjects with heroin or cocaine as a substance of choice, drug severity was lower in those who received primary care (predicted mean ASI drug scores for those reporting ≥ 2, 1 and 0 visits, respectively, 0.13, 0.15 and 0.16, P = 0.01). Conclusions Receipt of primary medical care is associated with improved addiction severity. These results support efforts to link patients with addictions to primary medical care services.
Editor: Oxford, UK: Blackwell Science Ltd
Idioma: Inglês

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Primary medical care and reductions in addiction severity: a prospective cohort study

Saitz, Richard ; Horton, Nicholas J. ; Larson, Mary Jo ; Winter, Michael ; Samet, Jeffrey H.

Oxford, UK: Blackwell Science Ltd

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