Titre : | Primary medical care and reductions in addiction severity: a prospective cohort study |
Titre traduit : | (Prise en charge en soin primaire et diminutions de la gravité de l'addiction : une étude prospective de cohorte.) |
Auteurs : | R. SAITZ ; N. J. HORTON ; M. J. LARSON ; M. WINTER ; J. H. SAMET |
Type de document : | Périodique |
Année de publication : | 2005 |
Format : | 70-78 / tabl. |
Note générale : |
Addiction, 2005, 100, (1), 70-78 |
Langues: | Français |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés MEDECIN GENERALISTE ; PRISE EN CHARGE ; EFFICACITE ; ETUDE PROSPECTIVEThésaurus géographique ETATS-UNIS |
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) |
Note de contenu : | tabl. |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 31 |
Affiliation : |
Boston Medical Center, 91 East Concord Street, Boston, 02118. E-mail: rsaitz@bu.edu Etats-Unis. United States. |
Numéro Toxibase : | 208175 |
Centre Emetteur : | 02 Coordonnateur |
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