在一个学术中心的患者可访问性和使用行为睡眠医学推
Yelena Chernyak1, Susan Ofner2, Michelle K Williams3
1Department of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana.
概括
老年患者和有网络保险的人更有可能参加行为睡眠医学 (BSM) 预约. 年轻的患者,黑人种族和更短的推到预约时间与错过的BSM访问有关.
科学领域:
- 睡眠医学 睡眠医学
- 行为心理学 行为心理学
- 医疗保健的可访问性 医疗保健的可访问性
背景情况:
- 行为睡眠医学 (BSM) 整合了行为心理学和睡眠医学.
- 了解转诊模式对于优化患者获得BSM服务至关重要.
研究的目的:
- 分析到BSM诊所的转诊模式.
- 确定预测推接受的因素.
- 确定初次预约出席的障碍.
- 描述与患者访问频率相关的变量.
主要方法:
- 对已成年患者的回顾性图表审查,这些患者被转介到BSM诊所.
- 在城市中西部的学术医疗保健系统中进行的研究.
- 2014年至2019年期间收集的转诊数据.
主要成果:
- 睡眠药物是主要的转诊来源 (74.2%).
- 38%的转诊患者没有预约.
- 非计划因素包括年龄较小,距离较远和网络之外的保险.
- 83%的人参加了初次摄入;年龄较大预测了出席率.
结论:
- 年龄较大,临床附近,网络内保险增加了BSM安排时间的可能性.
- 年龄较小,黑人种族,非失眠障碍诊断和更短的转诊到预约时间与错过的BSM参与有关.
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