| Individuals receiving addiction treatment: are medical costs of their family members reduced? | |
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MedLine Citation:
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PMID: 20491730 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS: To examine whether alcohol and other drug (AOD) treatment is related to reduced medical costs of family members. DESIGN: Using the administrative databases of a private, integrated health plan, we matched AOD treatment patients with health plan members without AOD disorders on age, gender and utilization, identifying family members of each group. SETTING: Kaiser Permanente Northern California. PARTICIPANTS: Family members of abstinent and non-abstinent AOD treatment patients and control family members. MEASUREMENTS: We measured abstinence at 1 year post-intake and examined health care costs per member-month of family members of AOD patients and of controls through 5 years. We used generalized estimating equation methods to examine differences in average medical cost per member-month for each year, between family members of abstinent and non-abstinent AOD patients and controls. We used multilevel models to examine 4-year cost trajectories, controlling for pre-intake cost, age, gender and family size. RESULTS: AOD patients' family members had significantly higher costs and more psychiatric and medical conditions than controls in the pre-treatment year. At 2-5 years, each year family members of AOD patients abstinent at 1 year had similar average per member-month medical costs to controls (e.g. difference at year 5 = $2.63; P > 0.82), whereas costs for family members of non-abstinent patients were higher (e.g. difference at year 5 = $35.59; P = 0.06). Family members of AOD patients not abstinent at 1 year, had a trajectory of increasing medical cost (slope = $10.32; P = 0.03) relative to controls. CONCLUSIONS: Successful AOD treatment is related to medical cost reductions for family members, which may be considered a proxy for their improved health. |
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Authors:
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Constance Weisner; Sujaya Parthasarathy; Charles Moore; Jennifer R Mertens |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural Date: 2010-05-14 |
Journal Detail:
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Title: Addiction (Abingdon, England) Volume: 105 ISSN: 1360-0443 ISO Abbreviation: Addiction Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-20 Completed Date: 2011-02-23 Revised Date: 2011-09-26 |
Medline Journal Info:
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Nlm Unique ID: 9304118 Medline TA: Addiction Country: England |
Other Details:
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Languages: eng Pagination: 1226-34 Citation Subset: IM |
Affiliation:
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Department of Psychiatry, University of California, San Francisco, CA, USA. constance.weisner@kp.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult California Case-Control Studies Child Chronic Disease Delivery of Health Care, Integrated Family Family Health* Female Health Care Costs / trends* Health Services / economics*, utilization Health Status Humans Male Models, Statistical Substance-Related Disorders / economics*, therapy Treatment Outcome |
| Grant Support | |
ID/Acronym/Agency:
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R01 AA015183-02/AA/NIAAA NIH HHS; R01 AA115183/AA/NIAAA NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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