Health services utilization and cost for at-risk drinkers: Rural and urban comparisons

Paul J. Nietert, Michael French, Joann Kirchner, Xiaotong Han, Brenda M. Booth

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objective: The purpose of this study was to examine differences between healthcare use and associated costs in rural and urban at-risk drinkers. Method: Primary healthcare utilization and cost data were collected from 1995 to 1998 on rural (n = 215) and urban (n = 228) cohorts of drinkers residing in six southeastern states who met criteria for at-risk drinking. Data were obtained through subject interview and from abstracts of medical and pharmacy records. Results: Overall healthcare costs were not significantly different between the rural and urban cohorts. For subjects who incurred any hospital costs (including emergency room [ER] visits), however, costs were significantly greater (p <.01) for rural patients (median = $2,561) than for urban patients (median = $865). Hospital costs associated with patients' ER visits and any subsequent admissions were also greater (p <.01) for rural patients (median= $1,004) than for urban patients (median= $512). Use of healthcare services was significantly more likely to occur among women (p <.0001), individuals with lower overall self-reported physical health (p <.01) and individuals with health insurance (p <.0001). Among subjects who used healthcare services, greater costs were significantly associated with older age (p

Original languageEnglish (US)
Pages (from-to)353-362
Number of pages10
JournalJournal of Studies on Alcohol
Volume65
Issue number3
StatePublished - May 2004

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Health Care Costs
Health Services
health service
utilization
Health
Hospital Costs
costs
Delivery of Health Care
Costs and Cost Analysis
Hospital Emergency Service
Costs
Emergency rooms
Patients' Rooms
Health Insurance
Drinking
Medical Records
Primary Health Care
Health insurance
Interviews
health insurance

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychology(all)

Cite this

Health services utilization and cost for at-risk drinkers : Rural and urban comparisons. / Nietert, Paul J.; French, Michael; Kirchner, Joann; Han, Xiaotong; Booth, Brenda M.

In: Journal of Studies on Alcohol, Vol. 65, No. 3, 05.2004, p. 353-362.

Research output: Contribution to journalArticle

Nietert, PJ, French, M, Kirchner, J, Han, X & Booth, BM 2004, 'Health services utilization and cost for at-risk drinkers: Rural and urban comparisons', Journal of Studies on Alcohol, vol. 65, no. 3, pp. 353-362.
Nietert, Paul J. ; French, Michael ; Kirchner, Joann ; Han, Xiaotong ; Booth, Brenda M. / Health services utilization and cost for at-risk drinkers : Rural and urban comparisons. In: Journal of Studies on Alcohol. 2004 ; Vol. 65, No. 3. pp. 353-362.
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