通过使用一般化倾向分数建模,为使用物质障碍的退伍军人寻找最佳停留时间
Gregory M Dams1, Georgina M Gross2, Bethany R Ketchen3
1Program Evaluation and Resource Center, Office of Mental Health and Office of Suicide Prevention, Veterans Health Administration, Menlo Park, CA, USA.
The International journal on drug policy
|March 2, 2025
概括
对于患有严重物质使用障碍 (SUD) 的退伍军人来说,最优的住院治疗长度是3549天. 这种持续时间平衡了改善患者结果与及时获得新退伍军人护理的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 对复杂需求的退伍军人来说,物质使用障碍 (SUD) 住院治疗至关重要.
- 退伍军人事务部 (VA) 运营着超过70个SUD住宅项目.
- 关于最优的SUD住宿长度 (LOS) 的现有研究是相互矛盾的,建议从30到90天不等.
研究的目的:
- 确定在SUD住院治疗中最佳的停留时间 (LOS),最大限度地提高患者的治疗结果,同时确保新患者的入住.
- 为VA决策者提供基于证据的SUD住宅计划的默认LOS信息.
- 为了平衡既定患者的治疗效果与潜在患者的及时入院.
主要方法:
- 对15889名退伍军人从VA SUD住宅中心出院的医疗记录数据的分析 (10/1/20219/30/2022).
- 利用概括的倾向权重剂量反应曲线来建模LOS和结果之间的关系.
- 在不同的 LOS 持续时间内检查了治疗结果和患者获取之间的权衡.
主要成果:
- 确定了35至49天的最佳LOS范围.
- 这个范围平衡了改善的平均治疗结果与改善新患者的治疗机会.
- 较短或较长的停留时间显示回报减少或访问减少.
结论:
- 35至49天之间的LOS代表了VA SUD住院治疗的平衡方法.
- 这一发现可以指导个性化治疗计划,并优化资源配置.
- 进一步的研究应该考虑个体患者对定制LOS的需求.
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