https://scholars.lib.ntu.edu.tw/handle/123456789/504807
標題: | Health service utilization of heroin abusers: A retrospective cohort study | 作者: | I-MING CHEN Huang C.L.C. Yeh B.-J. YI-LING CHIEN |
公開日期: | 2015 | 出版社: | Elsevier Ltd | 卷: | 45 | 起(迄)頁: | 281-286 | 來源出版物: | Addictive Behaviors | 摘要: | Aims: This study aimed to determine the patterns of medical service utilization among heroin users and to identify the factors associated with the frequency of utilization. Methods: We conducted a retrospective/prospective cohort study of 789 heroin-using adults in a catchment area, collecting data on their usage of medical care, including inpatient care, emergency visits, and outpatient care, in a 2-year observation period. We interviewed and reviewed the medical records of 789 heroin users in a methadone clinic of a general hospital in a rural area of Taiwan. The demographic data, records of service use, diagnoses, and information on viral infection status from Jan. 1, 2007 to Dec. 31, 2008 were collected. Most patients were middle-aged and unemployed, had a basic educational level, and began their first heroin use in their twenties. Results: The health service utilization of heroin users was mostly for infectious diseases, orthopedic conditions, and gastroenterological disorders mainly due to blood-borne or local infections and traumatic injury. Heroin users utilize fewer outpatient or inpatient services, but more emergency care than the general public. The major correlates of inpatient and emergency service utilization were HIV status and education level. Conclusions: Our findings suggest that integrated outpatient services may help to enhance medical service accessibility and adherence, and also imply the necessity of putting more effort into promoting health management and safe behaviors in heroin users, particularly the lower-educated addicts. ? 2015 Elsevier Ltd. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84924964345&doi=10.1016%2fj.addbeh.2015.01.042&partnerID=40&md5=cb51d1bbceb4f3562625693169403b74 https://scholars.lib.ntu.edu.tw/handle/123456789/504807 |
ISSN: | 0306-4603 | DOI: | 10.1016/j.addbeh.2015.01.042 | SDG/關鍵字: | diamorphine; methadone; methadone; narcotic agent; adolescent; adult; aged; Article; bloodstream infection; cohort analysis; demography; drug abuse; emergency care; female; gastrointestinal disease; general hospital; health care utilization; hospital care; human; injury; interview; male; medical care; medical record review; middle aged; musculoskeletal disease; outpatient care; prospective study; retrospective study; rural area; Taiwan; virus infection; young adult; ambulatory care; comorbidity; educational status; emergency health service; health service; Hepatitis, Viral, Human; heroin dependence; HIV Infections; hospitalization; infection; opiate substitution treatment; statistics and numerical data; utilization; Wounds and Injuries; Adolescent; Adult; Aged; Ambulatory Care; Cohort Studies; Comorbidity; Educational Status; Emergency Service, Hospital; Female; Health Services; Hepatitis, Viral, Human; Heroin Dependence; HIV Infections; Hospitalization; Humans; Infection; Male; Methadone; Middle Aged; Narcotics; Opiate Substitution Treatment; Prospective Studies; Retrospective Studies; Taiwan; Wounds and Injuries; Young Adult |
顯示於: | 臨床醫學研究所 |
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