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Titolo:
Alcoholism treatment and medical care costs from Project MATCH
Autore:
Holder, HD; Cisler, RA; Longabaugh, R; Stout, RL; Treno, AJ; Zweben, A;
Indirizzi:
Prevent Res Ctr, Berkeley, CA 94704 USA Prevent Res Ctr Berkeley CA USA 94704 ent Res Ctr, Berkeley, CA 94704 USA Univ Wisconsin, Milwaukee, WI 53201 USA Univ Wisconsin Milwaukee WI USA 53201 Wisconsin, Milwaukee, WI 53201 USA Brown Univ, Providence, RI 02912 USA Brown Univ Providence RI USA 02912Brown Univ, Providence, RI 02912 USA Butler Hosp, Providence, RI 02906 USA Butler Hosp Providence RI USA 02906Butler Hosp, Providence, RI 02906 USA
Titolo Testata:
ADDICTION
fascicolo: 7, volume: 95, anno: 2000,
pagine: 999 - 1013
SICI:
0965-2140(200007)95:7<999:ATAMCC>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
APPROXIMATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Holder, HD Prevent Res Ctr, 2150 Shattuck Ave,Suite 900, Berkeley, CA 94704 USA Prevent Res Ctr 2150 Shattuck Ave,Suite 900 Berkeley CA USA 94704
Citazione:
H.D. Holder et al., "Alcoholism treatment and medical care costs from Project MATCH", ADDICTION, 95(7), 2000, pp. 999-1013

Abstract

Aims. This paper examines the costs of medical care prior to and followinginitiation of alcoholism treatment as part of a study of patient matching to treatment modality. Design. Longitudinal study with pre- and post-treatment initiation. Measurements. The total medical care costs for inpatient and outpatient treatment for patients participating over a spall of 3 years post-treatment. Setting. Three treatment sites at two of the nine Project MATCH locations (Milwaukee, WI and Providence, RI). Participants. Two hundredand seventy-nine patients. Intervention. Patients Mere randomly assigned to one of three treatment modalities: a 12-session cognitive behavioral therapy (CBT), a four-session motivational enhancement therapy (MET) or a 12-session Twelve-Step facilitation (TSF) treatment over 12 weeks. Findings. Total medical care costs declined from pre- to post-treatment overall and for each modality. Matching effects independent of clinical prognosis showed that MET has potential for medical-care cost-savings. However, patients with poor prognostic characteristics (alcohol dependence, psychiatric severity and/or social network support for drinking) have better cost-savings potential with CBT and/or TSF. Conclusions. Matching variables have significant importance in increasing the potential for medical-care cost-reductions following alcoholism treatment.

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Documento generato il 07/07/20 alle ore 22:33:38