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在COVID-19期间,在精神分裂症的医疗补助受益人中,抗精神病药物的服药程度的变化
Siyuan Shen1, Catherine Yang2, Molly Candon2,3,4
1Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market St, 3rd Floor, Philadelphia, PA, 19104, USA. Lisa.Shen@pennmedicine.upenn.edu.
Administration and policy in mental health
|October 11, 2024
概括
在COVID-19大流行期间,十分之三的精神分裂症患者经历了药物不服药. 远程医疗和病例管理对于维持治疗参与至关重要,特别是在健康危机期间.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19的流行,医疗保健和患者的日常生活发生了重大破坏.
- 药物坚持对于管理精神分裂症至关重要,但公共卫生危机期间的模式仍未得到充分研究.
- 在大流行之前,精神分裂症患者的先前高坚持率为评估与大流行相关的变化提供了独特的基线.
研究的目的:
- 在COVID-19大流行期间,在精神分裂症患者中识别药物坚持模式.
- 确定与不同粘附轨迹相关的因素.
- 在公共卫生紧急情况期间,为维持弱势群体治疗参与的战略提供信息.
主要方法:
- 利用来自费城的Medicaid索赔数据,用于患有精神分裂症的18岁以上的个人.
- 采用组轨迹模型来识别不同的药物坚持模式.
- 使用ANOVA分析依附群和人口统计/服务使用特征之间的关联.
主要成果:
- 一个四组轨迹模型最适合数据:70%保持了高坚持,而30%显示下降 (流行不坚持者,迟迟不坚持者,中断坚持者).
- 有物质使用障碍和身体健康状况的个人更有可能成为不坚持的.
- 病例管理的使用率较低与流行病不遵守有关,而遵守者则使用了更多的远程医疗和门诊心理健康服务.
结论:
- 大约30%的精神分裂症患者以前坚持药物治疗,但在疫情期间药物治疗的坚持下降.
- 远程医疗和病例管理对于持续的治疗参与至关重要,特别是在公共卫生危机期间.
- 解决同时出现的物质使用和身体健康状况对于支持这一群体的药物坚持是必不可少的.
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