Massachusetts Health Reform's Effect on Hospitalizations with Substance Use Disorder-Related Diagnoses.

ABSTRACT:

Objective

To examine whether Massachusetts (MA) health reform affected substance (alcohol or drug) use disorder (SUD)-related hospitalizations in acute care hospitals.

Data/study setting

2004-2010 MA inpatient discharge data.

Design

Difference-in-differences analysis to identify pre- to postreform changes in age- and sex-standardized population-based rates of SUD-related medical and surgical hospitalizations, adjusting for secular trends.

Data extraction methods

We identified 373,751 discharges where a SUD-related diagnosis was a primary or secondary discharge diagnosis.

Findings

Adjusted for age and sex, the rates of drug use-related and alcohol use-related hospitalizations prereform were 7.21 and 8.87 (per 1,000 population), respectively, in high-unins

SUBMITTER: Lasser KE 

PROVIDER: S-EPMC5980373 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature