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抑郁症和焦虑症的协作护理:治疗参与和治疗结果的种族和种族差异
Kelly Guanhua Yang1, Michelle A Blackmore1, Benjamin Lê Cook1
1Department of Psychiatry, NYU Langone Health, New York City (Yang); Department of Psychiatry and Behavioral Sciences (Blackmore, Chung) and PRIME Center for Health Equity (Cook), Albert Einstein College of Medicine/Montefiore Medical Center, New York City; Health Equity Research Lab, Cambridge Health Alliance, Cambridge, Massachusetts (Cook).
种族少数民族患者较少参与协作护理,但表现出更好的抑郁和焦虑症状改善. 改善这些群体的后续保留对于公平的精神卫生保健服务至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康差异的差异
- 主要护理是指初级护理.
背景情况:
- 协作护理模型 (CoCM) 在初级保健中用于治疗心理健康状况.
- 在医疗保健参与和结果方面,种族种族差异仍然存在.
- 了解CoCM内部的这些差异对于公平的护理至关重要.
研究的目的:
- 调查在初级保健 CoCM. 内的参与和临床结果的种族种族差异.
- 确定黑人,西班牙裔和白人患者治疗后续和症状反应的差异.
- 评估CoCM对不同患者群体的有效性.
主要方法:
- 该研究包括4,911名成年患者,他们的查结果为抑郁症/焦虑症呈阳性.
- 被认定为非西班牙裔黑人,西班牙裔或非西班牙裔白人.
- 结果测量了治疗参与 (后续访问) 和症状反应/缓解.
主要成果:
- 与白人患者相比,黑人和西班牙裔患者接受足够的随访的可能性较低.
- 然而,接受充分随访的患者表现出更强的抑郁症状反应和焦虑缓解.
- 在分析中调整了社会人口统计共变量.
结论:
- CoCM在治疗黑人和西班牙裔患者的抑郁症和焦虑症方面表现出有效性.
- 观察到在随访护理获取方面存在显著差异.
- 需要有针对性的干预措施,以加强少数群体患者在协作护理环境中的保留.
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