应急服务利用模式的人口预测因素 青少年有自杀风险
Mira A Bajaj1, Holly C Wilcox1,2, Leslie B Adams2
1Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Suicide & life-threatening behavior
|July 11, 2023
概括
黑人种族,女性性别和医疗补助保险预测,在有过自杀倾向的年轻人中,急救部门 (ED) 的使用率更高. 年龄较小与ED利用率和再入院率较低有关.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 精神病学是一个精神病学.
背景情况:
- 具有自杀倾向 (想法或行为) 的年轻人经常使用紧急服务.
- 了解急诊室 (ED) 使用人口预测因素对于有针对性的干预至关重要.
研究的目的:
- 确定与经常使用急诊室 (ED) 相关的人口因素,这些年轻患者有自杀想法或行为史.
- 分析ED访问频率的预测因素,后续访问的时间,以及在24个月的随访期内重新访问的原因.
主要方法:
- 从2017-2021年对3094名年龄在8-22岁,有过自杀倾向病史的患者电子健康记录的回顾性分析.
- 使用后勤回归模型来确定ED使用模式和90天再入院的人口预测因素.
主要成果:
- 黑人种族 (OR=1.45),女性性别 (OR=1.59) 和医疗补助保险 (OR=1.71) 与ED使用率的增加有显著联系.
- 18岁以下的患者的ED利用率较低 (OR=0.38对于12岁以下,OR=0.47对于12-18岁) 并且90天再入院的几率降低.
结论:
- 黑人,女性,有医疗补助保险的年轻成年患者在首次自杀探访后更有可能经常使用ED.
- 这些发现表明,在医疗保健获取方面存在潜在的差异,并强调需要改善医疗协调,专注于不同患者群体,以加强获得替代医疗服务的机会.
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