美国军方核心心理健康临床医生能力和使用率
Yu-Chu Shen1,2, Jennifer Heissel3,4, Marigee Bacolod1
1Department of Defense Management, Naval Postgraduate School, Monterey, California.
JAMA network open
|September 18, 2024
概括
由于地理限制,现役服务人员面临着获得心理健康护理的挑战. 减少临床医生的可用性显著减少了心理健康访问,这种差异由COVID-19大流行恶化.
科学领域:
- 军事医疗服务研究 军事医疗服务研究
- 医疗服务的可访问性 医疗服务的可访问性
- 提供心理健康护理 提供心理健康护理
背景情况:
- 现役服务人员经历了高度的心理健康压力,缺乏居住选择.
- 对这一群体来说,地理上获得心理健康护理的机会至关重要.
- 由于COVID-19的流行,可能加剧了医疗保健的现有差异.
研究的目的:
- 检查心理健康临床医师能力的变化如何影响服务人员的护理利用率.
- 为了确定这些模式在COVID-19大流行开始之前和之后是否发生了变化.
- 了解地理位置对寻求心理健康治疗的影响.
主要方法:
- 美国现役人员 (2016-2022) 的回顾性队列研究.
- 基于接近核心心理健康临床医生 (≥1/6000受益者) 的精神健康护理访问的分析.
- 用于评估访问概率和访问量变化的个人固定效应模型.
主要成果:
- 搬到30分钟车程内没有临床医生的地区,心理健康访问概率降低了11.6%.
- 当临床医生访问有限时,访问强度减少了7.7%.
- 在获得心理健康护理方面的差异在COVID-19爆发后显著扩大.
结论:
- 对军事心理健康诊所的有限访问减少了现役人员的护理利用率.
- 即使有民用部门可用,护理的地理障碍仍然存在.
- 随着COVID-19的流行,现有的差异在服务人员获得心理健康护理的机会上得到了扩大.
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