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      알코올 의존 환자의 퇴원 후 지속적 외래 방문 영향 요인 = Affecting Factors for Continuing Outpatient Care After Inpatient Care for Patients with Alcohol Dependence in Korea: A Population-based Study

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      https://www.riss.kr/link?id=A103352838

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      Alcohol-dependent patients face a substantial risk of relapse after inpatient care in their lives. The continuing outpatient care after intensive inpatient care is an important role to reduce the risk of relapse. However, there has been relatively little research on the affecting factors of continuing care. This study aimed to identify the continuous outpatient visit rate and determine factors to affect the continuous outpatient visit after discharge. A continuous outpatient visit is defined as an outpatient visit that is made at least once every 6 months. A total of 18,835 alcohol-dependent patients were followed up for 6 months after discharge. We performed multiple logistic regression to analyze the association between continuous outpatient visit and patient`s characteristics. Only 8.3% of patients received continuous outpatient care within 6 months of their discharge. Patients who were younger, male, and under medicaid were less likely to make post-discharge outpatient visits on a continuous basis. Effort needs to be exterted to provide adequate discharge education programs and to strengthen community services for these patients.
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      Alcohol-dependent patients face a substantial risk of relapse after inpatient care in their lives. The continuing outpatient care after intensive inpatient care is an important role to reduce the risk of relapse. However, there has been relatively lit...

      Alcohol-dependent patients face a substantial risk of relapse after inpatient care in their lives. The continuing outpatient care after intensive inpatient care is an important role to reduce the risk of relapse. However, there has been relatively little research on the affecting factors of continuing care. This study aimed to identify the continuous outpatient visit rate and determine factors to affect the continuous outpatient visit after discharge. A continuous outpatient visit is defined as an outpatient visit that is made at least once every 6 months. A total of 18,835 alcohol-dependent patients were followed up for 6 months after discharge. We performed multiple logistic regression to analyze the association between continuous outpatient visit and patient`s characteristics. Only 8.3% of patients received continuous outpatient care within 6 months of their discharge. Patients who were younger, male, and under medicaid were less likely to make post-discharge outpatient visits on a continuous basis. Effort needs to be exterted to provide adequate discharge education programs and to strengthen community services for these patients.

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      참고문헌 (Reference)

      1 한국중독정신의학회, "중독치료지침서" 알코올사업지원단 2011

      2 서유나, "일 대학병원에서의 알코올의존 환자의 외래 추적시 12개월 추적률" 14 (14): 24-28, 2010

      3 정우진, "음주의 사회경제적 비용 추계" 대한예방의학회 39 (39): 21-29, 2006

      4 권용실, "알코올리즘 환자들의 퇴원 후 경과에 대한 연구" 6 (6): 114-119, 2002

      5 최성빈, "알코올리즘 입원치료프로그램참가자들의 퇴원 후 경과에 대한 연구" 10 (10): 44-50, 2006

      6 성상경, "알코올리즘 입원치료프로그램 참가자들의 퇴원후 단기경과" 7 (7): 123-133, 2003

      7 김경훈, "알코올 전문병원의 임상 질 지표 개발" 건강보험심사평가원 2013

      8 배성범, "알코올 의존 환자에서 단주 프로그램 수행과재입원" 12 (12): 71-75, 2008

      9 노재원, "알코올 의원 환자의 퇴원 후 외래 치료 충실도" 17 (17): 68-73, 2013

      10 Harris, A. H., "VA care for substance use disorder patients: indicators of facility and VISN performance(Fiscal years 2003 and 2004)"

      1 한국중독정신의학회, "중독치료지침서" 알코올사업지원단 2011

      2 서유나, "일 대학병원에서의 알코올의존 환자의 외래 추적시 12개월 추적률" 14 (14): 24-28, 2010

      3 정우진, "음주의 사회경제적 비용 추계" 대한예방의학회 39 (39): 21-29, 2006

      4 권용실, "알코올리즘 환자들의 퇴원 후 경과에 대한 연구" 6 (6): 114-119, 2002

      5 최성빈, "알코올리즘 입원치료프로그램참가자들의 퇴원 후 경과에 대한 연구" 10 (10): 44-50, 2006

      6 성상경, "알코올리즘 입원치료프로그램 참가자들의 퇴원후 단기경과" 7 (7): 123-133, 2003

      7 김경훈, "알코올 전문병원의 임상 질 지표 개발" 건강보험심사평가원 2013

      8 배성범, "알코올 의존 환자에서 단주 프로그램 수행과재입원" 12 (12): 71-75, 2008

      9 노재원, "알코올 의원 환자의 퇴원 후 외래 치료 충실도" 17 (17): 68-73, 2013

      10 Harris, A. H., "VA care for substance use disorder patients: indicators of facility and VISN performance(Fiscal years 2003 and 2004)"

      11 Lie, C., "VA Care for Substance Use Disorder Patients: Indicators of Facility and VISN Performance (Fiscal Years 2001 and 2002)"

      12 Lynskey, M. T., "The comorbidity of alcohol dependence and affective disorders: treatment implications" 52 (52): 201-209, 1998

      13 Mckay, J. R., "Step down continuing care in the treatment of substance abuse : correlates of participation and outcome effects" 27 (27): 321-331, 2004

      14 Weinstock, J., "Regardless of psychiatric severity the addition of contingency management to standard treatment improves retention and drug use outcomes" 87 (87): 288-296, 2007

      15 Aguiar, P., "Prognostic factors during outpatient treatment for alcohol dependence : cohort study with 6months of treatment follow-up" 47 (47): 702-710, 2012

      16 Terra, M. B., "Predictors of relapse in 300 Brazilian alcoholic patients: a 6-month follow-up study" 43 (43): 403-411, 2008

      17 Harris, A. H., "Predictors of engagement in continuing care following residential substance use disorder treatment" 84 (84): 93-101, 2006

      18 Murthy, P, "Outcome of Alcohol Dependence : The Role of Continued Care Indian" 34 (34): 148-151, 2009

      19 Blodgett, J. C., "How effective is continuing care for substance use disorders? A meta-analytic review" 46 (46): 87-97, 2014

      20 Charney, D. A., "Early recovery from alcohol dependence : factors that promote or impede abstinence" 38 (38): 42-50, 2010

      21 Schuckit, M. A., "Drug and alcohol abuse: a clinical guide to diagnosis and treatment" Springer 2006

      22 Schaefer, J. A., "Differential relationships between continuity of care practices, engagement in continuing care, and abstinence among subgroups of patients with substance use and psychiatric disorders" 72 (72): 611-621, 2011

      23 Schaefer, J. A., "Continuity of care practices and substance use disorder patients’ engagement in continuing care" 43 (43): 1234-1241, 2005

      24 McKay, J. R., "Continuing care research : what we have learned and where we are going" 36 (36): 131-145, 2009

      25 Neto, D., "Compliance with aftercare treatment, including disulfiram, and effect on outcome in alcohol-dependent patients" 42 (42): 604-609, 2007

      26 Friedmann, D. Peter., "Clinical practice. Alcohol use in adults" 368 (368): 365-373, 2013

      27 조맹제, "2011년도 정신질환실태 역학조사" 서울대학교 2011

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      2027 평가예정 재인증평가 신청대상 (재인증)
      2021-01-01 평가 등재학술지 유지 (재인증) KCI등재
      2018-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2015-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2011-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2010-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2009-01-01 평가 등재후보학술지 유지 (등재후보1차) KCI등재후보
      2008-04-25 학술지등록 한글명 : 보건사회연구
      외국어명 : Health and Social Welfare Review
      KCI등재후보
      2007-01-01 평가 SCOPUS 등재 (신규평가) KCI등재후보
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      2016 1.79 1.79 1.91
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
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