调查第一个情节精神病的患者结果的不平等
Dasha Nicholls1, Jobie Budd2, Philippa Nunn3
1Division of Psychiatry, Department of Brain Sciences, Imperial College London, London, UK; and Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
The British journal of psychiatry : the journal of mental science
|October 10, 2024
概括
在首发精神病 (FEP) 结果中,健康不平等仍然存在,特别是在年轻患者和黑人患者中,即使考虑到治疗的开始. 支持就业干预措施在改善结果方面表现有前途.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 医疗保健服务研究 医疗服务研究
- 临床流行病学 临床流行病学
背景情况:
- 了解临床护理中的健康不平等对于公平的结果至关重要.
- 人口群体之间接受治疗的差异可能导致第一发精神病 (FEP) 的结果差异.
研究的目的:
- 调查FEP患者症状改善的人口差异.
- 检查这些差异与治疗吸收之间的关系.
主要方法:
- 来自2021-2022年国家精神病临床审计数据集的6813名患者的分析.
- 对治疗量进行调整,以评估结果差异的持续性.
- 回归建模以确定人口变量和干预措施的影响.
主要成果:
- 年轻患者 (18-24岁) 和黑人/黑人英国人患者的症状改善较小,即使调整了干预摄入量.
- 支持就业干预措施对改善结果产生了显著的积极影响 (P < 0.001).
- 主持人分析表明,针对特定的人口群体进行有针对性的干预的潜力.
结论:
- 通过社会和人口统计因素持续监测FEP治疗采用和结果的不平等是必不可少的.
- 该研究为监测英国国家临床审计中的健康不平等提供了一个框架.
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