为患有严重精神疾病的年轻人提供综合的初级和社区心理健康护理:计划评估
Gillian L Sowden1, Joelle C Ferron1, Sarah I Pratt1
1Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.
Early intervention in psychiatry
|July 31, 2024
概括
将初级保健整合到严重精神疾病 (SMI) 的年轻成年人的心理健康服务中,显著增加了初级保健访问. 这种干预措施还减少了这一弱势群体的急诊室 (ED) 和医院利用率.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 精神病学是一个精神病学.
- 主要护理医学 医疗保健
背景情况:
- 患有严重精神疾病 (SMI) 的年轻人经历了显著的身体健康差异.
- 在SMI的年轻成年人中,急诊室 (ED) 和医院使用率很高,很常见.
- 综合护理模式为改善健康结果提供了潜在的解决方案.
研究的目的:
- 评估综合初级保健服务对SMI的年轻成年人医疗利用的影响.
- 评估在综合护理计划入学后,初级保健,ED和医院使用的变化.
主要方法:
- 一组83名患有SMI的年轻人参加了一项综合护理计划.
- 用调整的多变量回归来分析自我报告的医疗保健利用率的变化.
- 数据包括每年一次的初级保健访问,医疗和精神科ED访问,以及住院治疗日.
主要成果:
- 初级保健访问量显著增加,每人每年从1.8增加到3.6 (p < .001).
- 医疗ED访问从1.0降至0.6 (p < .01),精神病医疗ED访问从0.6降至0.2 (p < .001).
- 住院时间也因医疗原因 (1.2至0.1,p<.001) 和精神病原因 (6.3至2.6,p<.001) 显著减少.
结论:
- 对患有SMI的年轻成年人的综合护理导致了初级保健参与度的增加.
- 这种模式有效地减少了对急诊室和住院医院服务的依赖.
- 建议进行进一步的受控研究,以验证这些发现并探索长期益处.
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