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The Urban Health Care Clinic and Its Substance Abuse Population

Bibliographic Data

ID9102703
AuthorsDaniel F Cahill (Wayne State University, corresponding author), Benjamin J Hodgkins (Wayne State University, corresponding author)
Year1991
Volume29
Issue10
Pages1004-1016
Publication date1991-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-199110000-00006
PMID1921520
OpenAlexW2047153504
LanguageEN
References cited4

The effect of large numbers of patients with a history of substance abuse upon a health care system is rarely considered, nor is the health care system's response to such a clientele ever assessed. In this preliminary study, the collective effect of large numbers of substance abuse patients upon a clinic serving the urban poor and homeless is evaluated. The study examines the types of problems patients present to the clinic and the health care response, in terms of diagnoses and treatment plans, provided by the clinic. Using a random sample of 163 medical records, a retrospective analysis of reasons for visit, diagnoses and treatment plans was performed. Results indicated that patients with a history of substance abuse were more likely to present with chronic complaints and were not frequent return visitors to the clinic. No significant differences in either diagnoses or treatment plans for patients with a history of substance abuse were discovered. The implication of these results for health services provided to urban poor and homeless patients with histories of substance abuse was considered, as were reasons for the type of system response indicated by the results obtained

Environmental health · Family medicine · Health care · Medical diagnosis · Medical record · Population · Psychiatry · Retrospective cohort study · Substance abuse · Health disparities and outcomes · Homelessness and Social Issues · Medicine · Substance Abuse Treatment and Outcomes

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Citation velocityhistorical
Highly citedNo

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