Care outcomes and alcohol-related treatment utilisation profiles of patients with alcohol-use disorder
Background: We examined the probabilities of longitudinal care outcomes of working-aged patients with alcohol-use disorder (AUD) and their alcohol-related treatment utilisation patterns across the healthcare services, by using linked electronic health records. Methods: A random sample ( n = 396) of...
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crsagepubl:10.1177/1455072518783972 2023-05-15T17:00:21+02:00 Care outcomes and alcohol-related treatment utilisation profiles of patients with alcohol-use disorder A prospective cohort study using electronic health records Rautiainen, Elina Ryynänen, Olli-Pekka Laatikainen, Tiina Strategic Research Council at the Academy of Finland 2018 http://dx.doi.org/10.1177/1455072518783972 http://journals.sagepub.com/doi/pdf/10.1177/1455072518783972 http://journals.sagepub.com/doi/full-xml/10.1177/1455072518783972 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license Nordic Studies on Alcohol and Drugs volume 35, issue 5, page 329-343 ISSN 1455-0725 1458-6126 Health Policy Health (social science) journal-article 2018 crsagepubl https://doi.org/10.1177/1455072518783972 2022-05-26T08:13:14Z Background: We examined the probabilities of longitudinal care outcomes of working-aged patients with alcohol-use disorder (AUD) and their alcohol-related treatment utilisation patterns across the healthcare services, by using linked electronic health records. Methods: A random sample ( n = 396) of patients with alcohol-related visits to healthcare services in 2011–2012 was collected retrospectively from the electronic health record data in the North Karelia region of Finland and followed prospectively in time until the end of 2016. Data on care outcomes and alcohol-related healthcare use were gathered from the electronic health records. Three outcome groups were identified: (1) dead, (2) present AUD, and (3) remission. Group differences in alcohol-related health service use were compared. Results: At the end of the follow-up period, an increased mortality rate of 22.9% was observed, and 18.4% had achieved stable remission, while for the majority (56%), the AUD remained. Most of those in remission had contact with either specialised AUD services or mental health services. Conversely, the majority of those who had died had no contact with specialised AUD services during the follow-up period. Conclusions: The electronic-health-record-based register analysis captured mainly individuals with advanced forms of AUD. An excess mortality rate and other negative health consequences were observed. Training providers to identify and treat earlier the less severe forms of AUD could have major benefit to patients and also reduce health system costs. Article in Journal/Newspaper karelia* SAGE Publications (via Crossref) Nordic Studies on Alcohol and Drugs 35 5 329 343 |
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SAGE Publications (via Crossref) |
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English |
topic |
Health Policy Health (social science) |
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Health Policy Health (social science) Rautiainen, Elina Ryynänen, Olli-Pekka Laatikainen, Tiina Care outcomes and alcohol-related treatment utilisation profiles of patients with alcohol-use disorder |
topic_facet |
Health Policy Health (social science) |
description |
Background: We examined the probabilities of longitudinal care outcomes of working-aged patients with alcohol-use disorder (AUD) and their alcohol-related treatment utilisation patterns across the healthcare services, by using linked electronic health records. Methods: A random sample ( n = 396) of patients with alcohol-related visits to healthcare services in 2011–2012 was collected retrospectively from the electronic health record data in the North Karelia region of Finland and followed prospectively in time until the end of 2016. Data on care outcomes and alcohol-related healthcare use were gathered from the electronic health records. Three outcome groups were identified: (1) dead, (2) present AUD, and (3) remission. Group differences in alcohol-related health service use were compared. Results: At the end of the follow-up period, an increased mortality rate of 22.9% was observed, and 18.4% had achieved stable remission, while for the majority (56%), the AUD remained. Most of those in remission had contact with either specialised AUD services or mental health services. Conversely, the majority of those who had died had no contact with specialised AUD services during the follow-up period. Conclusions: The electronic-health-record-based register analysis captured mainly individuals with advanced forms of AUD. An excess mortality rate and other negative health consequences were observed. Training providers to identify and treat earlier the less severe forms of AUD could have major benefit to patients and also reduce health system costs. |
author2 |
Strategic Research Council at the Academy of Finland |
format |
Article in Journal/Newspaper |
author |
Rautiainen, Elina Ryynänen, Olli-Pekka Laatikainen, Tiina |
author_facet |
Rautiainen, Elina Ryynänen, Olli-Pekka Laatikainen, Tiina |
author_sort |
Rautiainen, Elina |
title |
Care outcomes and alcohol-related treatment utilisation profiles of patients with alcohol-use disorder |
title_short |
Care outcomes and alcohol-related treatment utilisation profiles of patients with alcohol-use disorder |
title_full |
Care outcomes and alcohol-related treatment utilisation profiles of patients with alcohol-use disorder |
title_fullStr |
Care outcomes and alcohol-related treatment utilisation profiles of patients with alcohol-use disorder |
title_full_unstemmed |
Care outcomes and alcohol-related treatment utilisation profiles of patients with alcohol-use disorder |
title_sort |
care outcomes and alcohol-related treatment utilisation profiles of patients with alcohol-use disorder |
publisher |
SAGE Publications |
publishDate |
2018 |
url |
http://dx.doi.org/10.1177/1455072518783972 http://journals.sagepub.com/doi/pdf/10.1177/1455072518783972 http://journals.sagepub.com/doi/full-xml/10.1177/1455072518783972 |
genre |
karelia* |
genre_facet |
karelia* |
op_source |
Nordic Studies on Alcohol and Drugs volume 35, issue 5, page 329-343 ISSN 1455-0725 1458-6126 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/1455072518783972 |
container_title |
Nordic Studies on Alcohol and Drugs |
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35 |
container_issue |
5 |
container_start_page |
329 |
op_container_end_page |
343 |
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1766053014654681088 |