与全面行为健康危机相关的市场因素 护理可用性:一种资源依赖理论研究研究
Ashlyn Burns1, Joshua R Vest2, Nir Menachemi1
1Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA.
概括
综合行为健康危机护理 (BHCC) 仅在美国14.9%的县提供. 增加的心理健康提供者和大都市地区与更高的BHCC可用性有关,突出了劳动力需求和农村差异.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
背景情况:
- 行为健康危机护理 (BHCC) 解决心理健康或物质使用障碍引起的急性痛苦.
- 了解影响BHCC可用性的市场因素对于服务扩张至关重要.
- 现有的研究还没有完全阐明综合BHCC服务的县级决定因素.
研究的目的:
- 检查与美国各县全面BHCC服务的可用性相关的市场因素.
- 确定全面的BHCC设施存在的地理和提供商相关预测因素.
- 为改善获得关键心理健康危机服务的战略提供信息.
主要方法:
- 利用了来自9,385个心理健康治疗机构 (SAMHSA) 的2022年的数据.
- 将设施数据汇总到县级 (3,142个县),并与县级市场因素合并.
- 使用后勤回归模型来评估市场因素和BHCC可用性之间的调整关联.
主要成果:
- 在美国468个县 (14.9%) 提供了全面的BHCC服务.
- 拥有更多心理健康提供者的县显示,具有综合性BHCC的几率明显更高 (AOR=2.26).
- 与非大都会县相比,大都会县的综合BHCC可用性几率要高得多 (AOR=3.26).
结论:
- 美国各县的全面BHCC可用性存在重大差距.
- 扩大心理健康工作人员是增加BHCC获取机会的关键.
- 需要有针对性的干预措施来解决差异,并改善农村地区的BHCC可用性.
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