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西澳大利亚远程航空医疗物质使用障碍结果

Nicholas Faint¹, Mathew Coleman^1,2,3, Breeanna Spring^4,5

¹Great Southern Mental Health Service, Western Australia Country Health Service, Perth, Western Australia, Australia.

Internal medicine journal

|May 31, 2023

概括

与大都市患者相比,患有需要空中医疗检索的物质使用障碍 (SUD) 的澳大利亚地区居民更有可能是土著,失业男性,并经历了较长的住院时间. 服务提供需要文化安全的护理和综合方法.

科学领域:

公共卫生公共卫生
农村卫生农村卫生
成药物药物药物药物

背景情况:

药物使用障碍 (SUD) 不成比例地影响澳大利亚地区,他们面临着获得酒精和其他毒品 (AOD) 治疗的重大障碍.
航空医疗检索对偏远人口来说是一个关键的服务,但对SUD患者的人口统计和结果数据有限.

研究的目的:

描述来自西澳大利亚地区SUDs的航空医学检索患者的人口统计.
为了比较这些区域患者的医院结果与匹配的大都会队列.

主要方法:

追溯病例控制的队列研究.
对西澳大利亚SUD的航空医学检索数据的分析 (2014年7月~2019年6月).
根据年龄和诊断进行病例匹配,使用描述性统计和千二分析.

主要成果:

通过空中医疗检索的患者 (n=136) 主要是男性 (69.9%) ,更有可能是土著 (OR 9.35),失业 (OR 2.9),转诊到第三级护理 (OR 2.18),并且住院时间较长 (OR 1.08) 比匹配的大都市对照 (n=427).
胺类型的兴奋剂在恢复队列中占据了突出地位.
检索模式的区域差异被观察到.

结论:

未婚/失业的男性,特别是土著人,在SUD的空中医疗检索中占比过高.
医疗保健服务必须优先考虑土著居民的文化安全护理,以及区域患者的综合性AOD/心理健康服务.
服务设计应满足区域医疗保健的需求,并促进协作治疗方法.

关键词:

空中救护车空中救护车心理健康心理健康农村和偏远地区的农村和偏远地区药物使用障碍药物使用障碍

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