Building a hospital‐based addiction medicine consultation service in Vancouver, Canada: the path taken and lessons learned.
Background and aims: To improve evidence‐based addiction care in acute care settings, many hospitals across North America are developing an inpatient addiction medicine consultation service (AMCS). St Paul's Hospital in Vancouver, Canada houses a large interdisciplinary AMCS. This study aimed to: (1...
| Publicado en: | Addiction Vol. 116; no. 7; pp. 1892 - 1901 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jul2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150671486&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150671486 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Jul2021 vid: 116 iid: 7 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 150671486 148576728 150671486 150671486 10.1111/add.15383 150671486 ppf: 1892 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Building a hospital‐based addiction medicine consultation service in Vancouver, Canada: the path taken and lessons learned. aug: au: Braithwaite, Vivian Ti, Lianping Fairbairn, Nadia Ahamad, Keith McLean, Mark Harrison, Scott Wood, Evan Nolan, Seonaid affil: British Columbia Centre on Substance Use, Vancouver BC,, Canada sug: subj: Curriculum Substance Use Disorders Rehabilitation Counseling Referral and Consultation Psychotherapy Addictions Nursing Education Acute Care Behavior, Addictive Rehabilitation Human Canada Retrospective Design Nonexperimental Studies Multidisciplinary Care Team Health Services Needs and Demand Descriptive Statistics Male Female Middle Age Inpatients Middle Aged: 45-64 years Male Female ab: Background and aims: To improve evidence‐based addiction care in acute care settings, many hospitals across North America are developing an inpatient addiction medicine consultation service (AMCS). St Paul's Hospital in Vancouver, Canada houses a large interdisciplinary AMCS. This study aimed to: (1) describe the current model of clinical care and its evolution over time; (2) evaluate requests for an AMCS consultation over time; (3) highlight the established clinical training opportunities and educational curriculum and (4) provide some lessons learned. Design, setting and participants: A retrospective observational analysis in an urban, academic hospital in Vancouver, Canada with a large interdisciplinary AMCS, studied from 2013 to 2018, among individuals who presented to hospital and had a substance use disorder. Measurements Data were collected using the hospital's electronic medical records. The primary outcome was number of AMCS consultations over time. Findings In 2014 the hospital's AMCS was restructured into an academic, interdisciplinary consultation service. A 228% increase in the number of consultations was observed between 2013 (1 year prior to restructuring) and 2018 (1373 versus 4507, respectively; P = 0.027). More than half of AMCS consultations originated from the emergency department, with this number increasing over time (55% in 2013 versus 74% in 2018). Referred patients were predominantly male (> 60% in all 5 years) between the ages of 45 and 65 years. Reasons for consultation remained consistent and included: opioids (33%), stimulants (30%), alcohol (23%) and cannabis use (8%). Conclusions: After St Paul's Hospital in Vancouver, Canada was restructured in 2014 to a large, interdisciplinary addiction medicine consultation service (AMCS), the AMCS saw a 228% increase in the number of consultation requests with more than half of requests originating from the emergency department. Approximately two‐thirds of consultation requests were for opioid or stimulant use. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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