ABSTRACT

Aims

We assessed the relationship between specialist and non-specialist admissions for alcohol withdrawal since the introduction of the UK government Health and Social Care Act in 2012.

Methods

Using publicly available national data sets from 2009 to 2019, we compared the number of alcohol withdrawal admissions and estimated costs in specialist and non-specialist treatment settings.

Results

A significant negative correlation providing strong evidence of an association was observed between the fall in specialist and rise in non-specialist admissions. Significant cost reductions within specialist services were displaced to non-specialist settings.

Conclusions

The shift in demand from specialist to non-specialist alcohol admissions due to policy changes in England should be reversed by specialist workforce investment to improve outcomes. In the meantime, non-specialist services and staff must be resourced and equipped to meet the complex needs of these service users.

中文翻译：

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英国专科酒精住院治疗患者入院率和因酒精戒断而非专科医院入院率：呈负相关。

摘要

目标

自 2012 年英国政府《健康与社会关怀法案》出台以来，我们评估了专科医生和非专科医生入院治疗酒精戒断的关系。

方法

我们使用 2009 年至 2019 年公开的国家数据集，比较了专科和非专科治疗机构中酒精戒断入院人数和估计费用。

结果

在专科招生人数下降和非专科招生人数上升之间观察到显着的负相关性，这提供了相关性的有力证据。专业服务中成本的显着降低被转移到非专业环境中。

结论

由于英格兰的政策变化，需求从专业酒精入场转向非专业酒精入场的转变应该通过专业劳动力投资来扭转，以改善结果。与此同时，必须为非专业服务和人员提供资源和装备，以满足这些服务用户的复杂需求。