[瑞士精神卫生服务系统中距离衰减的影响]
Niklaus Stulz1, Benjamin Dubno1, Ralf Gebhardt2
1Ärztliche Direktion, Integrierte Psychiatrie Winterthur-Zürcher Unterland, Winterthur, Schweiz.
Psychiatrische Praxis
|March 29, 2024
概括
随着旅行时间的延长,精神病室门诊服务的使用量显著下降. 住院服务使用受到距离的影响较小,这表明分散的门诊护理是可访问性的关键.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
- 空间流行病学 空间流行病学
背景情况:
- 地理可访问性是影响医疗保健利用的关键因素.
- 了解距离衰减的影响对于优化心理健康服务提供至关重要.
- 以前的研究表明,距离对不同类型的医疗保健服务的影响各不相同.
研究的目的:
- 检查旅行时间与精神病医院住院和门诊服务的利用之间的关系.
- 确定服务地点的距离如何影响患者获得心理健康护理.
- 为心理医疗服务网络的战略规划提供信息.
主要方法:
- 2022年在瑞士精神病医疗服务系统中对成人患者 (18-64岁) 的回顾性队列分析.
- 使用公共交通工具的旅行时间作为距离的主要衡量标准.
- 住院和门诊精神病医疗服务的利用率的比较,基于住院与诊所的邻近.
主要成果:
- 门诊精神病学服务的使用率显示,随着从住所到诊所的旅行时间的增加,在统计学上显著下降.
- 对于住院精神病医疗服务的利用,远距离衰变的影响不那么明显.
- 住院服务利用率并没有始终显示出与距离相关的统计学上显著下降.
结论:
- 建议对一般门诊精神病医疗服务进行分散规划,以改善社区接入.
- 在可访问的系统中,住院和专业精神病学服务的集中组织可能是合适的.
- 优化服务提供需要考虑地理可访问性对各种精神卫生保健组件的影响差异.
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