检查患者和社区层面的因素,与儿童精神卫生保健的访问,在一个病人导航程序
Caitlin Koob1,2, Mackenzie Stuenkel3, Ryan J Gagnon4
1Department of Public Health Sciences, Clemson University, 501 Edwards Hall, Clemson, SC, 29634, USA. ckoob@clemson.edu.
Community mental health journal
|March 20, 2024
概括
患者导航程序改善了青少年获得心理健康护理的机会. 机会较高的社区和有更多需求的儿童得到了更好的照顾,突出了社会驱动因素对儿科心理健康准入的影响.
科学领域:
- 儿科心理健康 儿科心理健康
- 医疗服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 美国面临着青少年心理健康危机,只有25%的儿童得到了充分的照顾.
- 患者导航计划 (PNP) 在改善儿童获得心理健康护理方面表现有前途.
- 了解影响儿科精神卫生服务获取的因素至关重要.
研究的目的:
- 检查与儿科精神卫生保健接入相关的患者和社区层面因素.
- 评估PNP在将儿童连接到精神卫生服务方面的有效性.
- 确定影响年轻人获得心理健康护理的健康社会驱动因素.
主要方法:
- 对儿科辅助服务 (PSS) 数据的分析 (2017年9月-2023年3月).
- 整合儿童机会指数2.0数据用于社区层面的分析.
- 结构方程建模以评估患者和社区层面的因素.
主要成果:
- 62.7%的儿童通过PSS连接到心理健康服务.
- 更年长的孩子和那些有更多推需求的孩子更有可能连接.
- 较高的社区机会水平与增加的精神卫生保健服务机会相关.
结论:
- 社区机会和健康的社会驱动因素对儿科精神卫生保健的获得有重大影响.
- 机会较低的社区的儿童面临着更大的障碍,无法获得心理健康护理.
- 在优化儿童获得心理健康护理的过程中,PNP可以发挥至关重要的作用,特别是当与社区资源相结合时.
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