解决智力和发育障碍患者以及精神疾病患者延迟出院的问题
Avra Selick1, Tiziana Volpe1, Susan Morris1
1Centre for Addiction and Mental Health, Toronto (Selick, Volpe, Lunsky); private consultant, Toronto (Morris); Department of Psychiatry, University of Toronto, Toronto (Lunsky).
Psychiatric services (Washington, D.C.)
|September 11, 2024
概括
智力和发育障碍以及同时出现的精神疾病的成年人由于出院延误而面临更长的住院时间. 这凸显了对改善护理过渡和对这一弱势群体的支持系统的迫切需要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
- 心理健康服务 心理健康服务
背景情况:
- 智力和发育障碍 (IDD) 和同时出现的精神疾病的成年人经历了不成比例的更长的住院时间.
- 延迟出院发生在患者准备出院但缺乏合适的出院后设置时,影响结果和成本.
研究的目的:
- 检查成年人IDD和同时出现的精神疾病中延迟出院的因素.
- 突出了对这一群体改善护理过渡策略的需要.
主要方法:
- 该研究发现,与单独患有精神疾病的人相比,成年人患有IDD和精神疾病的延迟出院的可能性要高得多 (近五倍).
- 它引用了加拿大开发的实践指南,概述了成功的患者过渡的10个组成部分.
主要成果:
- 延迟出院与患者不良后果,医疗保健系统成本增加,及时护理的机会减少有关.
- 以患者为中心,涉及患者,家庭,医院团队和社区提供者的跨部门方法至关重要.
结论:
- 有效的过渡规划和支持对于缓解IDD和同时出现精神疾病的成年人延迟出院至关重要.
- 跨医疗保健部门和IDD提供者的合作是成功出院和改善患者护理的关键.
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