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Chronic illicit drug use, health services utilization and the cost of medical care

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  • French, Michael T.
  • McGeary, Kerry Anne
  • Chitwood, Dale D.
  • McCoy, Clyde B.

Abstract

Few studies have examined the relationships between drug use, health services utilization and the cost of medical care for a community-based sample of drug users. The purpose of this study was to analyze recently collected data on chronic drug users (CDUs), CDUs who were also injecting drug users (IDUs) and non-drug users (NDUs) to determine whether these groups exhibited differences in health services utilization and cost. In addition to descriptive analyses, these relationships were estimated with multivariate regression models. Data were collected in 1996 and 1997 through a standardized self-reported questionnaire administered to individuals who were recruited through community outreach activities in the USA. Annual differences in health services utilization between CDUs, IDUs and NDUs were estimated for three measures: number of times admitted to a hospital, number of outpatient visits and number of emergency room episodes. Results of this study indicate that CDUs and IDUs consumed significantly more inpatient and emergency care, but less outpatient services relative to NDUs. Analyses of total health care costs showed that CDUs and IDUs each generated about $1000 in excess services utilization per individual relative to NDUs. This research is the first study to compare differences in health services utilization and cost among out-of-treatment drug users relative to a matched group of non-users in a community-based setting. The findings suggest that health care providers and managed care organizations should consider policies that promote more ambulatory care and discourage emergency room and inpatient care among drug users. Innovative and culturally acceptable approaches may be necessary to provide incentives without posing unusual financial hardship.

Suggested Citation

  • French, Michael T. & McGeary, Kerry Anne & Chitwood, Dale D. & McCoy, Clyde B., 2000. "Chronic illicit drug use, health services utilization and the cost of medical care," Social Science & Medicine, Elsevier, vol. 50(12), pages 1703-1713, June.
  • Handle: RePEc:eee:socmed:v:50:y:2000:i:12:p:1703-1713
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    References listed on IDEAS

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    1. Wagstaff, Adam, 1991. "QALYs and the equity-efficiency trade-off," Journal of Health Economics, Elsevier, vol. 10(1), pages 21-41, May.
    2. Gerdtham, U. -G. & Johannesson, M. & Lundberg, L. & Isacson, D., 1999. "A note on validating Wagstaff and van Doorslaer's health measure in the analysis of inequalities in health," Journal of Health Economics, Elsevier, vol. 18(1), pages 117-124, January.
    3. Newbold, K. Bruce & Eyles, John & Birch, Stephen, 1995. "Equity in health care: Methodological contributions to the analysis of hospital utilization within Canada," Social Science & Medicine, Elsevier, pages 1181-1192.
    4. Wagstaff, Adam & van Doorslaer, Eddy & Paci, Pierella, 1991. "On the measurement of horizontal inequity in the delivery of health care," Journal of Health Economics, Elsevier, vol. 10(2), pages 169-205, July.
    5. Culyer, A. J. & Wagstaff, Adam, 1993. "Equity and equality in health and health care," Journal of Health Economics, Elsevier, vol. 12(4), pages 431-457, December.
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    Cited by:

    1. Roebuck, M. Christopher & French, Michael T. & Dennis, Michael L., 2004. "Adolescent marijuana use and school attendance," Economics of Education Review, Elsevier, vol. 23(2), pages 133-141, April.
    2. Pierre K├ębreau Alexandre & Michael T. French, 2004. "Further Evidence on the Labor Market Effects of Addiction: Chronic Drug Use and Employment in Metropolitan Miami," Contemporary Economic Policy, Western Economic Association International, vol. 22(3), pages 382-393, July.
    3. Gerald Kennally, 2001. "Regulating the Trade in Recreational Drugs," European Journal of Law and Economics, Springer, vol. 11(1), pages 69-82, January.

    More about this item

    Keywords

    Drug use Health services Cost USA;

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