对NHS精神疾病患者的职业支持的重要性
1Centre for Medical Humanities, Birkbeck, University of London, London, UK.
Occupational medicine (Oxford, England)
|November 15, 2023
概括
失业增加了精神疾病患者过早死亡的风险. 许多患者希望得到工作支持,但却没有得到,这影响了他们的满意度和死亡风险.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 职业健康 职业健康 职业健康
- 公共卫生政策 公共卫生政策
背景情况:
- 失业是显著的结构性不平等,加剧了精神疾病患者过早死亡的风险.
- 解决就业障碍对于改善健康状况和减少这一群体的死亡率差异至关重要.
研究的目的:
- 调查英国国家卫生服务 (NHS) 精神疾病患者就业支持的提供和影响.
- 确定获得职业支持是否会影响患者的满意度,并降低与失业有关的死亡风险.
主要方法:
- 来自护理质量委员会调查的数据分析,涉及54个NHS信托机构的11,001名工作年龄的精神疾病患者.
- 包括长期服务用户 (6年以上),占评估患者队列的50%.
主要成果:
- 在感知到的职业支持方面存在很大的差距,有46%的希望就业援助的患者没有得到它.
- 职业支持被发现是整体患者满意度的强有力的预测因素,与药物治疗和谈话疗法等主要治疗方法相美.
- 还确定了对身体并发症和药物管理 (副作用,随访) 的支持缺口.
结论:
- 对于患有精神疾病的NHS患者来说,更好地获得就业支持计划,如个人安置和支持,至关重要.
- 通过职业支持解决失业问题,可以减轻过早死亡,贫困,耻辱和社会排斥的风险.
- 增加资金和改善就业支持计划的可用性是必要的,以改善患者的结果和减少健康不平等.
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