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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

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
Electronic ISSN 1464-3502
Publisher Oxford University Press (OUP)
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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