在种族/种族少数群体青年中移动危机响应遭遇后,住院护理的利用率
Joyce H L Lui1, Belinda C Chen2, Lisa A Benson3
1Concordia University, Montréal, Québec.
移动危机响应 (MCR) 服务对于青年的心理健康至关重要. 然而,存在差异,亚裔美国人/太平洋岛民年轻人不太可能和美国印第安人/阿拉斯加原住民年轻人更有可能接受住院护理后MCR.
科学领域:
- 儿童和青少年精神病学
- 心理健康服务研究 心理健康服务研究
- 健康 公平 卫生 公平
背景情况:
- 青年精神病紧急情况和住院住院病人的比例不断增加,需要有效的社区干预措施.
- 移动危机响应 (MCR) 服务为解决青年急性心理健康需求和促进护理联系提供了关键途径.
- 了解MCR作为护理途径,特别是后续护理中的种族/民族差异,对于公平的服务提供至关重要.
研究的目的:
- 检查在移动危机响应 (MCR) 经历后,年轻人在住院护理利用方面的种族和种族差异.
- 根据MCR后的年轻人种族/种族,确定随后的精神病医院住院护理中的模式.
- 为改善不同年轻人群平等获得心理健康服务的战略提供信息.
主要方法:
- 洛杉矶县心理健康局 (LACDMH) 对2017年MCR遭遇的行政索赔数据的分析.
- 包括精神病室住院和门诊服务数据从2017-2020年为0-18岁的年轻人.
- 多变量建模以评估种族/种族和随后的住院护理之间的关联,控制人口统计和临床因素.
主要成果:
- 共有6,908名年轻人接受了MCR服务;3.2%的人在30天内接受住院护理,18.6%超过30天,14.7%的人重复发作.
- 长期分析显示,亚裔美国人/太平洋岛民 (AAPI) 年轻人不太可能接受住院护理,而美国印第安人/阿拉斯加原住民 (AI/AN) 年轻人则更有可能接受MCR后住院护理.
- 与其他群体相比,黑人和拉丁裔青年在住院护理使用方面没有发现显著差异;年龄,语言,诊断和保险状况也预测了住院病例.
结论:
- 在长期住院护理利用方面存在显著的种族/民族差异,以AAPI和AI/AN年轻人的MCR为基础.
- 研究结果表明,在跨种族/族群的社区门诊和预防服务的透率或有效性方面,存在潜在的不平等现象.
- 努力将高风险的少数群体青年与具有成本效益的社区护理联系起来,对于解决差异和改善结果至关重要.
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