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在全国注册数据中寻求博障碍治疗 - - 关于立法重大转变的观察
Anders Håkansson1,2, Anna Karlsson1, Carolina Widinghoff1,2
1Psychiatry, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.
Frontiers in public health
|April 3, 2024
概括
在立法变化之后,寻求博障碍治疗的人数略有增加. 需要在医疗保健服务中进一步实施博障碍治疗,并进行更长的研究,以在正式系统之外跟踪患者.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究研究 心理健康服务研究
- 药物成治疗 药物成治疗
背景情况:
- 为了博障碍寻求较低的治疗,需要研究治疗机会.
- 纵向研究很少,特别是关于立法变革对治疗开始的影响.
- 了解患者的特征,包括人口统计和并发症,对于有效的干预至关重要.
研究的目的:
- 评估在博障碍被正式纳入社会服务和医疗保健立法后,博障碍治疗的变化.
- 分析患者的特征,包括社会人口统计和并发症,与寻求治疗有关.
- 为了比较瑞典2018年立法转变之前和之后的治疗数据.
主要方法:
- 利用了从2005年至2019年的全国性注册数据,涵盖专业门诊和住院医疗保健.
- 纵向跟踪了被诊断患有博障碍的患者的数量和特征.
- 比较了全国,主要城市地区和全国其他地区的数据,分析了同时出现的精神健康并发症,年龄和性别.
主要成果:
- 随着时间的推移,门诊博障碍的诊断逐渐增加,在立法后没有显著的步骤变化.
- 随着时间的推移,被诊断出来的患者更年轻,更有可能以博障碍为首要诊断,并且不太可能患上并发症.
- 住院诊断显示,立法后精神健康并发症增加,而人口统计数据在立法转变时保持不变.
结论:
- 立法后诊断的博障碍病例的适度增加表明需要在医疗保健服务中加强治疗的实施.
- 需要进行进一步的纵向研究,以了解市政社会服务对不寻求医疗保健的个体的覆盖范围.
- 很大一部分有博障碍的人可能会留在正式治疗系统之外.
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