赋予心理学家处方权威的影响:来自美国自然实验的证据
Agnitra Roy Choudhury1, Alicia Plemmons2
1Department of Economics, College of Liberal Arts & Social Sciences, Auburn University at Montgomery, 7400 East Drive, Montgomery, AL 36117, United States.
Health policy (Amsterdam, Netherlands)
|June 4, 2023
概括
在新墨西哥州和路易斯安那州,扩大心理学家处方权限与5-7%的自杀死亡率降低有关. 这一政策可能会改善心理健康护理的获取和结果.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 自杀是美国死亡的主要原因之一.
- 六个州允许心理学家开处方精神药物.
- 这解决了心理健康护理服务短缺和提供者获取问题.
研究的目的:
- 估计扩大心理学家实践范围对自我伤害死亡率的影响.
- 分析新墨西哥州和路易斯安那州心理学家的规范权威的实施,作为一个自然实验.
主要方法:
- 使用分阶差异差异估计方法.
- 对异质效应,医疗补助扩展和替代死亡结果进行了稳定性测试.
主要成果:
- 在新墨西哥州和路易斯安那州,自我伤害死亡率下降了5-7个百分点.
- 这种影响在男性,白人,已婚/单身人士以及35-55岁的人群中具有统计学意义.
结论:
- 扩大心理学家的处方权力可能会改善心理健康护理结果,包括减少自杀.
- 类似的政策扩展可能会使其他国家受益,这些国家精神健康转诊系统分散.
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