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大象视频Research Studies

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Research Studies is a compilation of published research articles funded by 大象视频or authored by 大象视频researchers.

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1 to 8 of 8 Research Studies Displayed
Williams FS, Garofalo R, Karnik NS
Universal substance use care for adolescents with chronic medical conditions: a protocol to examine equitable implementation determinants and strategies for SBIRT at a pediatric hospital.
A research protocol explores implementing Screening, Brief Intervention, and Referral to Treatment services for adolescents with chronic medical conditions in pediatric hospitals. The study highlights that these youth face equal or greater substance use risks compared to peers, with notable rates of alcohol and marijuana use. Using implementation science frameworks, the research aims to identify factors affecting program adoption through interviews and focus groups with hospital staff, patients, and caregivers. The study emphasizes health equity considerations in developing implementation strategies.
AHRQ-funded; HS026385.
Citation: Williams FS, Garofalo R, Karnik NS . Universal substance use care for adolescents with chronic medical conditions: a protocol to examine equitable implementation determinants and strategies for SBIRT at a pediatric hospital. Addict Sci Clin Pract 2024 Sep 11; 19(1):67. doi: 10.1186/s13722-024-00492-4..
Keywords: Children/Adolescents, Substance Abuse, Behavioral Health, Chronic Conditions, Hospitals, Implementation
Bui LN, Knox M, Miller-Rosales C
Hospital capabilities associated with behavioral health integration within emergency departments.
The objective of this study was to identify hospital capabilities associated with behavioral health processes in emergency departments. Responses to the National Survey of Healthcare Organizations and Systems were linked American Hospital Association Annual Survey data. Most hospitals reported screening for behavioral health conditions and provided direct referrals to community-based clinicians. Approximately half the hospitals used team approaches to behavioral health. Hospitals that reported more barriers to care delivery innovations also reported less screening and usage of a team approach. The authors concluded that research and interventions which focus on removing barriers or adding processes to disseminate best practices offer a path to accelerate behavioral health integration in emergency departments.
AHRQ-funded; HS024075.
Citation: Bui LN, Knox M, Miller-Rosales C . Hospital capabilities associated with behavioral health integration within emergency departments. Med Care 2024 Mar; 62(3):170-74. doi: 10.1097/mlr.0000000000001973.
Keywords: Behavioral Health, Emergency Department, Hospitals, Substance Abuse, Teams, Telehealth, Health Information Technology (HIT)
King C, Cook R, Korthuis PT
Causes of death in the 12 months after hospital discharge among patients with opioid use disorder.
This study described causes of death in the year post-discharge among hospitalized patients with Opioid Use Disorder (OUD). Data was analyzed from participants at least 18 years old with Medicaid insurance, who had a diagnosis of OUD during a general hospital admission in Oregon. Findings showed that hospitalized patients with OUD were at high risk of death, from drug and non-drug related causes, in the year after discharge. Recommendations included future research considering not only overdose, but a more comprehensive definition of drug-related death in understanding post-discharge mortality among hospitalized patients with OUD.
AHRQ-funded; HS026370.
Citation: King C, Cook R, Korthuis PT . Causes of death in the 12 months after hospital discharge among patients with opioid use disorder. J Addict Med 2022 Jul-Aug;16(4):466-69. doi: 10.1097/adm.0000000000000915..
Keywords: Mortality, Hospital Discharge, Hospitals, Opioids, Substance Abuse, Behavioral Health
Santos T, Lindrooth RC
Nonprofit hospital community benefits: collaboration with local health departments to address the drug epidemic.
Nonprofit hospitals (NFPs) are required to provide community benefits, which have been historically focused on provision of medical care, to keep their tax exemption status. To increase hospital investment in community health, the Patient Protection and Affordable Care Act required NFPs to conduct community health needs assessments and address identified needs. The objective of this study was to examine the association of NFP-local health department collaboration in local health planning targeting drug use, with drug-induced mortality.
AHRQ-funded; HS024959; HS025208; HS026116.
Citation: Santos T, Lindrooth RC . Nonprofit hospital community benefits: collaboration with local health departments to address the drug epidemic. Med Care 2021 Sep;59(9):829-35. doi: 10.1097/mlr.0000000000001595..
Keywords: Substance Abuse, Hospitals
Thompson HM, Faig W, VanKim NA HM, Faig W, VanKim NA
Differences in length of stay and discharge destination among patients with substance use disorders: The effect of Substance Use Intervention Team (SUIT) consultation service.
Addiction medicine consultation services (ACS) may improve outcomes of hospitalized patients with substance use disorders (SUD). The aim of the study was to examine the difference in length of stay and the hazard ratio for a routine hospital discharge between SUD patients receiving and not receiving ACS. The authors concluded that the Substance Use Intervention Team (SUIT) consultation service was associated with a reduced length of stay and an increased hazard of a routine discharge.
AHRQ-funded; HS026385.
Citation: Thompson HM, Faig W, VanKim NA HM, Faig W, VanKim NA . Differences in length of stay and discharge destination among patients with substance use disorders: The effect of Substance Use Intervention Team (SUIT) consultation service. PLoS One 2020 Oct 9;15(10):e0239761. doi: 10.1371/journal.pone.0239761..
Keywords: Substance Abuse, Hospitalization, Inpatient Care, Hospital Discharge, Hospitals
Eaton EF, Lee RA, Westfall AO
An integrated hospital protocol for persons with injection-related infections may increase medications for opioid use disorder use but challenges remain.
This study looked at whether a hospital-based protocol would increase the use of medications for opioid use disorder (MOUD) for persons who are hospitalized for infectious complications. Participants who received care for an infection at the University of Alabama at Birmingham Hospital from 2015 to 2018 were included. The protocol included use of an intravenous antibiotic and addiction team (IVAT) consultation and a 9-item risk assessment. The percentage of patients with OUD receiving MOUD increased significantly with IVAT (29% to 37%) and MOUD use was higher in 鈥渉igh risk鈥 participants (62%). However, the uptake of MOUD remains suboptimal at less than 50%.
AHRQ-funded; HS023009.
Citation: Eaton EF, Lee RA, Westfall AO . An integrated hospital protocol for persons with injection-related infections may increase medications for opioid use disorder use but challenges remain. J Infect Dis 2020 Sep 2;222(Suppl 5):S499-s505. doi: 10.1093/infdis/jiaa005..
Keywords: Opioids, Substance Abuse, Medication, Infectious Diseases, Hospitals
Basu J
大象视频Author: Basu J
Multilevel risk factors for hospital readmission among patients with opioid use disorder in selected US States: role of socioeconomic characteristics of patients and their community.
This study examined the association of socioeconomic characteristics of individuals hospitalized with a principal diagnosis of opioid use disorder and their all-cause 30-day readmission risks. Discharge data from the 2014 HCUP Survey was used and was linked to community and hospital characteristics using data from HRSA and the American Hospital Association. Medicare is associated with the highest readmission risk followed by Medicaid covered patients. Self-pay or covered by other payers had a similar risk to private insurance coverage. Urban patients also had a higher readmission rate than rural patients.
AHRQ-authored.
Citation: Basu J . Multilevel risk factors for hospital readmission among patients with opioid use disorder in selected US States: role of socioeconomic characteristics of patients and their community. Health Serv Res Manag Epidemiol 2020 Jan-Dec;7:2333392820904240. doi: 10.1177/2333392820904240..
Keywords: Healthcare Cost and Utilization Project (HCUP), Opioids, Medication, Substance Abuse, Hospital Readmissions, Hospitals, Social Determinants of Health
Holdsworth La E, Zhu R, Hassmiller Lich K
The effects of state psychiatric hospital waitlist policies on length of stay and time to readmission.
This study examined the effects of a waitlist policy for state psychiatric hospitals on length of stay and time to readmission. The authors found that waitlists were associated with increased length of stay and time to readmission.
AHRQ-funded; HS000032.
Citation: Holdsworth La E, Zhu R, Hassmiller Lich K . The effects of state psychiatric hospital waitlist policies on length of stay and time to readmission. Adm Policy Ment Health 2015 May;42(3):332-42. doi: 10.1007/s10488-014-0573-1.
.
Keywords: Hospitals, Behavioral Health, Policy, Substance Abuse, Hospital Readmissions

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