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Specialized Care Centers and Settings-II01:30

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Intoxicated, Homeless, And In Need Of A Place To Land.

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  • 1Otis Warren (owarren@Lifespan.org) is an attending physician at University Emergency Medicine Foundation and an assistant professor of emergency medicine at the Warren Alpert Medical School, Brown University, both in Providence, Rhode Island. The patient was not identified by name to protect his identity.

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Summary
This summary is machine-generated.

Patients with alcoholism frequently use emergency departments due to an inadequate care system. This highlights the need for improved healthcare infrastructure to manage chronic conditions effectively.

Keywords:
Access To CareDeterminants Of HealthEthical IssuesMental Health/Substance Abuse

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Area of Science:

  • Addiction Medicine
  • Healthcare Systems Analysis
  • Public Health

Background:

  • Recurrent emergency department (ED) visits are common among patients with Alcohol Use Disorder (AUD).
  • Existing healthcare systems often fail to provide continuous, integrated care for individuals with AUD.
  • Fragmentation of care contributes to poor patient outcomes and increased healthcare costs.

Observation:

  • A case study illustrates a patient with AUD repeatedly presenting to the ED.
  • Healthcare providers face challenges in managing this patient due to systemic limitations.
  • The current care model is ill-equipped to address the complex needs of patients with chronic alcoholism.

Findings:

  • The patient's frequent ED use signifies a failure in transitional and long-term care planning.
  • Outdated healthcare systems create barriers to consistent treatment and support for AUD.
  • Lack of coordinated care leads to a cycle of acute interventions without addressing underlying issues.

Implications:

  • There is a critical need for healthcare system reform to better support patients with AUD.
  • Integrated care models and improved care coordination are essential for managing chronic alcoholism.
  • Addressing systemic failures can reduce ED overcrowding and improve patient quality of life.