在德国汉堡首次诊断出酒精使用障碍后,使用与酒精有关的治疗
Jakob Manthey1,2,3, Kilian Huß1, Sven Buth1
1Centre for Interdisciplinary Addiction Research (ZIS), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
概括
很少有酒精使用障碍 (AUD) 患者接受足够的治疗. 这项研究分析了德国的现实数据,揭示了推疗法的低利用率,并突出了AUD患者获得护理的差距.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 成 药物 药物 药物 药物
背景情况:
- 酒精使用障碍 (AUD) 很普遍,但治疗利用率仍然很低,途径往往不清楚.
- 现有的数据表明,只有十分之一的AUD患者获得治疗,因此需要对现实世界的途径进行分析.
- 了解治疗差距对于改善德国AUD的医疗保健服务至关重要.
研究的目的:
- 描述德国现实世界与酒精有关的治疗利用模式.
- 识别AUD护理的获取和提供方面的差距.
- 将实际的治疗途径与现有的临床指南进行比较.
主要方法:
- 一项使用法定医疗保险,养老基金和门诊成护理数据 (2016-2021) 的数据链接研究.
- 在门诊,住院和康复机构分析了七种与酒精有关的治疗类型.
- 对于新诊断AUD的患者24个月的治疗利用率的潜在类分析 (ICD-10:F10.1-9).
主要成果:
- 在9,491名AUD患者中,只有30%的人使用任何与酒精有关的治疗.
- 接受治疗与年龄较小,女性性别,失业率,德国国籍和较低的并发病率有关.
- 简短的精神科咨询是最常见的;正式的心理治疗,咨询和药物治疗很少独立使用.
结论:
- 在现实世界中,AUD治疗利用率远远偏离了既定指南.
- 大多数被诊断为AUD患者没有获得基于证据的或充分的护理.
- 尽量减少结构和社会障碍对于改善AUD患者获得医疗保健的机会至关重要.
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