Missed Opportunities: Fewer Service Referrals After Positive Alcohol Misuse Screens in VA Primary Care

被引：0
|
作者：
Maust, Donovan T. [1 ]
Mavandadi, Shahrzad [2 ]
Klaus, Johanna [2 ]
Oslin, David W. [1 ,2 ]
机构：
[1] Univ Penn, Dept Psychiat, Philadelphia, PA 19104 USA
[2] Philadelphia Vet Affairs Med Ctr, Philadelphia, PA USA
来源：
PSYCHIATRIC SERVICES | 2011年 / 62卷 / 03期
关键词：
DEPRESSION;
D O I：
10.1176/appi.ps.62.3.310
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Objective: The primary purpose of this study was to compare referral to additional clinical services after primary care clinicians screened for and found a positive screen for alcohol misuse, depression, or posttraumatic stress disorder (PTSD). Methods: Results from the Alcohol Use Disorders Identification Test, Patient Health Questionnaire 2, and Primary Care PTSD screens performed over two years at the Philadelphia Veterans Affairs (VA) Medical Center and affiliated VA community sites were analyzed by mixed-effects logistic regression. A total of 9,052 veterans with positive screens were eligible for additional clinical services. Results: Odds of referral to additional clinical services for positive depression or PTSD screens were significantly higher than for positive screens for alcohol misuse (odds ratio=10.60 and 19.49, respectively). Conclusion: Primary care-based screening for alcohol misuse is managed differently than for depression or PTSD. (Psychiatric Services 62:310-312, 2011)
引用
收藏
页码：310 / 312
页数：3
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