Titre : | Linking alcohol- and drug dependent adults to primary medical care: a randomized controlled trial of a multi-disciplinary health intervention in a detoxification unit (2003) |
Titre traduit : | (Amener les patients dépendants de l'alcool et des drogues vers des soins médicaux primaires : un essai randomisé d'une intervention de santé multi-disciplinaires dans un centre de désintoxication.) |
Auteurs : | J. H. SAMET ; M. J. LARSON ; N. J. HORTON ; K. DOYLE ; M. WINTER ; R. SAITZ |
Type de document : | Article : Périodique |
Dans : | Addiction (Vol.98, n°4, April 2003) |
Article en page(s) : | 509-516 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés PRISE EN CHARGE ; SANTE ; ACCES AUX SOINS ; CSSTThésaurus géographique ETATS-UNIS |
Résumé : |
FRANÇAIS :
Parmi les 470 patients en centre de désintoxication, participant à l'étude, 235 ont été assignés au programme d'évaluation de soins primaires (HELP). 69% d'entre eux ont fréquenté le service de soins primaires, contre 53% dans le groupe témoin. ENGLISH: Aim: Pragmatic approaches to integration of medical care and substance abuse treatment are desired. We assessed the effectiveness of a novel multi-disciplinary clinic for linking patients in a residential detoxification program to primary medical care. Participants: We enrolled patients undergoing in-patient detoxification from alcohol, heroin or cocaine who had no primary care physician into a randomized controlled trial. The intervention consisted of a clinical evaluation at the detoxification unit in the health evaluation and linkage to primary care (HELP) clinic by a nurse, social worker and physician and facilitated referral to an off- site primary care clinic. The primary outcome of interest was attendance at a primary care appointment within 12 months. Secondary outcomes assessed over 24 months were addiction severity, health-related quality of life, utilization of medical and addiction services and HIV risk behaviors. Findings: Of the 470 subjects enrolled, 235 were randomized to the HELP clinic intervention. Linkage to primary medical care occurred in 69% of the intervention group compared to 53% in the control group (P= 0.0003). The clinic was similarly effective for subjects with alcohol and illicit drug problems. Randomization to the HELP clinic resulted in no significant differences in secondary outcomes. Conclusions: The HELP clinic, a mufti-disciplinary clinic located in a detoxification unit, effectively linked alcohol- and drug-dependent individuals to primary medical care. This intervention utilized a `reachable moment', the period of addiction care, as a window of opportunity for linking substance abusers to medical care. (Review' s abstract) |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 34 |
Affiliation : |
Section Gen. Internal Med., 91 East Concord St., Suite 200, Boston Med. Ctr, Boston MA 02118. Etats-Unis. United States. |
Numéro Toxibase : | 206776 |
Centre Emetteur : | 02 Coordonnateur |
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