患者对初级保健提供者的舒适度与行为健康服务利用率的三项措施之间的关联
Brenda Robles1,2, Hannah Kwak3, Tony Kuo4,5,6
1Research Group On Statistics, Econometrics, and Health (GRECS), University of Girona, Carrer de la Universitat de Girona 10, Campus de Montilivi, Girona, 17003, Spain. brenda.robles@udg.edu.
International journal of behavioral medicine
|February 22, 2024
概括
与初级保健提供者建立信任,增加了个人访问行为健康服务的可能性. 更强大的患者-提供者关系是改善心理健康护理利用率的关键.
科学领域:
- 获得医疗保健 获得医疗保健 获得医疗保健
- 心理健康服务 心理健康服务
- 患者与医疗服务提供者的关系
背景情况:
- 障碍往往阻止个人获得行为健康服务 (BHS).
- 与初级保健提供者 (PCP) 的积极互动,包括舒适和共享决策,可能会减少心理健康的耻辱.
- 改善的PCP关系可能会增加BHS利用率.
研究的目的:
- 检查PCP患者的舒适程度如何影响BHS的使用情况.
- 探索共享决策在这种关系中的调节作用.
主要方法:
- 在对洛杉矶县成年人互联网面板调查 (n=749) 的加权数据进行了多变量回归分析.
- 研究了PCP患者舒适度与BHS利用率的三个指标之间的关联.
- 研究了共享决策的调节效应.
主要成果:
- 使用PCP的更高舒适度与寻求心理健康服务和咨询的几率增加有关.
- 舒适度中等或高的参与者更有可能去看心理健康专业人员 (aOR=2.10,3.84) 和得到建议 (aOR=2.75,4.76).
- 共享决策表现出影响力,但不是一个重要的调节者.
结论:
- 加强患者与医疗服务提供者的关系可以提高BHS的利用率.
- 这种方法代表了一种未被充分利用的策略,用于改善心理健康护理的准入.
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