与心理健康代表性相关的因素在六个月内向急诊室提交
Shanley Chong1, Helen M Achat1, Joanne M Stubbs1
1Epidemiology and Health Analytics, Western Sydney Local Health District, North Parramatta, NSW, Australia.
International emergency nursing
|June 27, 2024
概括
心理健康 (MH) 患者经常代表到急诊室 (ED). 诸如提前离开ED,没有保险和先前住院等因素增加了在六个月内重复MHED访问的风险.
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:
- 紧急部门 (ED) 对精神健康 (MH) 状况的介绍代表了大量的资源流失.
- 了解导致MH重复ED访问的因素对于改善患者护理和资源配置至关重要.
研究的目的:
- 为了确定患者和临床因素与28天和六个月的ED MH代表的初次MH ED访问后.
主要方法:
- 在2017年1月1日至2019年6月30日期间,对8,010个与MH相关的ED陈述进行了回顾性分析.
- 利用考克斯回归和多项逻辑回归来评估患者特征与表示风险之间的关联.
主要成果:
- 总体而言,8%和16%的患者分别在28天和6个月内得到代表.
- 与代表性风险增加相关的关键因素包括自我认同HM问题,在治疗完成之前离开ED,缺乏私人医疗保险和先前入院.
- 16-39岁的无保险成年人显示,六个月代表性的风险明显更高.
结论:
- 自我识别MH问题,提前离开ED,缺乏保险和以前住院是理解非计划MHED表现的关键因素.
- 这些发现突出了针对性干预的领域,以减少重复的急救诊所访问,并改善MH护理途径.
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