TY - JOUR
T1 - Longitudinal trends in hospital admissions with co-occurring alcohol/drug diagnoses, 1994-2002
AU - Santora, Patricia B.
AU - Hutton, Heidi E.
N1 - Funding Information:
Financial assistance for this study was provided in part by The Robert Wood Johnson Foundation's Innovators Combating Substance Abuse Program at The Johns Hopkins University School of Medicine (Dr. Santora) and by the A.T. and Mary H. Blades Foundation (Drs. Santora and Hutton). The authors are entirely responsible for the research and results reported in this article, and their position or opinions do not necessarily represent those of The Johns Hopkins University School of Medicine, The Robert Wood Johnson Foundation, or the A.T. and Mary H. Blades Foundation.
PY - 2008/7
Y1 - 2008/7
N2 - In this observational study, longitudinal trends (1994-2002) in hospital admissions with co-occurring alcohol/drug abuse and addiction (ADAA; N = 43,073) were examined to determine prevalence and hospital costs by payer group and type of drug used. Four primary drug types were reported: 49% used a combination of two or more drugs, 25% used alcohol only, 11.8% used opioids only, and 6.5% used cocaine only. Costs of admissions increased significantly for those using two or more drugs (119%, from US$12.7 to US$27.8 million), alcohol (120%, from US$9 to US$19.8 million), and opioids (482%, from US$1.7 to US$9.9 million). Medicaid/Medicare represented 70% of the overall number of admissions and also paid 70% of hospital costs. Among Medicaid/Medicare and uninsured admissions, illicit drug use was more common, whereas among private payer admissions, alcohol abuse was more common. Hospital admissions with co-occurring ADAA must be considered when estimating the scope of ADAA and its financial burden.
AB - In this observational study, longitudinal trends (1994-2002) in hospital admissions with co-occurring alcohol/drug abuse and addiction (ADAA; N = 43,073) were examined to determine prevalence and hospital costs by payer group and type of drug used. Four primary drug types were reported: 49% used a combination of two or more drugs, 25% used alcohol only, 11.8% used opioids only, and 6.5% used cocaine only. Costs of admissions increased significantly for those using two or more drugs (119%, from US$12.7 to US$27.8 million), alcohol (120%, from US$9 to US$19.8 million), and opioids (482%, from US$1.7 to US$9.9 million). Medicaid/Medicare represented 70% of the overall number of admissions and also paid 70% of hospital costs. Among Medicaid/Medicare and uninsured admissions, illicit drug use was more common, whereas among private payer admissions, alcohol abuse was more common. Hospital admissions with co-occurring ADAA must be considered when estimating the scope of ADAA and its financial burden.
KW - Alcohol abuse
KW - Drug abuse
KW - Hospital admissions
KW - Hospital costs
KW - Payer groups
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U2 - 10.1016/j.jsat.2007.08.002
DO - 10.1016/j.jsat.2007.08.002
M3 - Article
C2 - 17935930
AN - SCOPUS:44349148401
SN - 0740-5472
VL - 35
SP - 1
EP - 12
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
IS - 1
ER -