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Inequity in the hospital care of patients with alcoholism and medication addiction.
- Source :
-
European addiction research [Eur Addict Res] 2000 Jun; Vol. 6 (2), pp. 79-83. - Publication Year :
- 2000
-
Abstract
- In a psychiatric/ecological study, the authors investigated which aspects of a town district would provide an explanation to the fact that alcoholics are treated above average in addiction-psychiatric wards in a given city district, while in other districts treatment is carried out in internal medical wards. The research was based on data collected between 1988 and 1994 from approximately 77% of all patients suffering from alcohol and legal drug abuse (n = 15,473) in 41 hospitals in Hamburg. It was established that in somatic departments, mainly internal medicine, 70% of male and 67% of female patients were admitted for alcohol and legal drug abuse. The results of a geographical analysis of hospitalization risks showed that the addiction-psychiatric facilities of psychiatric wards are mainly utilized by inhabitants from nearby districts. Risks of above-average hospitalization for alcoholics and legal drug abusers in internal wards, as well as insufficient addiction-psychiatric care, are to be expected in town districts where a shortage of psychiatrists exists, and where the unemployment rate is high. In these crucial areas, addiction-specific facilities, such as qualified programs for detoxication or techniques for short intervention, should be established within the framework of an addiction-specific liaison service in general hospitals.<br /> (Copyright 2000 S. Karger AG, Basel.)
- Subjects :
- Alcoholism economics
Female
Germany epidemiology
Hospital Units economics
Hospitals, Urban economics
Humans
Male
Poisson Distribution
Regression Analysis
Socioeconomic Factors
Substance-Related Disorders economics
Alcoholism therapy
Hospital Units statistics & numerical data
Hospitals, Urban statistics & numerical data
Psychiatric Department, Hospital economics
Substance-Related Disorders therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1022-6877
- Volume :
- 6
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- European addiction research
- Publication Type :
- Academic Journal
- Accession number :
- 10899733
- Full Text :
- https://doi.org/10.1159/000019014