Historique
Périodique
Primary medical care and reductions in addiction severity: a prospective cohort study
(Prise en charge en soin primaire et diminutions de la gravité de l'addiction : une étude prospective de cohorte.)
Auteur(s) :
SAITZ, R. ;
HORTON, N. J. ;
LARSON, M. J. ;
WINTER, M. ;
SAMET, J. H.
Année
2005
Page(s) :
70-78
Langue(s) :
Français
Refs biblio. :
31
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
MEDECIN GENERALISTE
;
PRISE EN CHARGE
;
EFFICACITE
;
ETUDE PROSPECTIVE
Thésaurus géographique
ETATS-UNIS
Note générale :
Addiction, 2005, 100, (1), 70-78
Note de contenu :
tabl.
Résumé :
ENGLISH :
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 (= or > 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. chi2 P = 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 = or > 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 = or > 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. (Author' s abstract)
Affiliation :
Boston Medical Center, 91 East Concord Street, Boston, 02118. E-mail: rsaitz@bu.edu
Etats-Unis. United States.
Etats-Unis. United States.