Professor Thomas Phillips Thomas.Phillips@hull.ac.uk
Professor of Nursing (Addictions)
Specialist alcohol inpatient treatment admissions and non-specialist hospital admissions for alcohol withdrawal in England: an inverse relationship
Phillips, Thomas; Huang, Chao; Roberts, Emmert; Drummond, Colin
Authors
Dr Chao Huang C.Huang@hull.ac.uk
Reader in Statistics
Emmert Roberts
Colin Drummond
Abstract
© The Author(s) 2020. Medical Council on Alcohol and Oxford University Press. 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.
Citation
Phillips, T., Huang, C., Roberts, E., & Drummond, C. (2021). Specialist alcohol inpatient treatment admissions and non-specialist hospital admissions for alcohol withdrawal in England: an inverse relationship. Alcohol and Alcoholism, 56(1), 28-33. https://doi.org/10.1093/alcalc/agaa086
| Journal Article Type | Article |
|---|---|
| Acceptance Date | Aug 3, 2020 |
| Online Publication Date | Sep 4, 2020 |
| Publication Date | Jan 4, 2021 |
| Deposit Date | Sep 5, 2020 |
| Publicly Available Date | Jan 4, 2021 |
| Journal | Alcohol and alcoholism (Oxford, Oxfordshire) |
| Print ISSN | 0735-0414 |
| Publisher | Oxford University Press |
| Peer Reviewed | Peer Reviewed |
| Volume | 56 |
| Issue | 1 |
| Article Number | agaa086 |
| Pages | 28-33 |
| DOI | https://doi.org/10.1093/alcalc/agaa086 |
| Keywords | Alcohol withdrawal syndrome; Ethanol; Government; Inpatients; Investments; Hospital admission; Workforce; Datasets |
| Public URL | https://hull-repository.worktribe.com/output/3564070 |
| Publisher URL | https://doi.org/10.1093/alcalc/agaa086 |
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Copyright Statement
© The Author(s) 2020. Medical Council on Alcohol and Oxford University Press
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