专业社区围产期心理健康服务的途径:一个两个站点的纵向回顾性服务评估
Nikolina Jovanović1,2, Žan Lep3,4, Jelena Janković5
1Centre for Psychiatry and Mental Health, Wolfson Institute of Population Sciences, Queen Mary, University of London, London, UK.
Health and social care delivery research
|November 4, 2024
概括
妇女前往围产期心理健康服务的途径有很大差异. 服务的位置,而不是患者需求,主要影响到访问时间和途径的复杂性. 这凸显了对标准化,可访问的护理的需求.
科学领域:
- 围产期心理健康问题
- 医疗服务研究 医疗服务研究
- 卫生公平性健康公平性
背景情况:
- 在怀孕和产后期间,母亲的心理健康会迅速下降.
- 获得及时有效的围产期心理健康服务至关重要.
- 在英国,少数民族妇女面临的接入挑战比英国白人妇女更大.
研究的目的:
- 描述患者通往专业社区围产期心理健康服务的途径.
- 探索这些途径在不同服务和不同族群的变化.
主要方法:
- 在伯明翰和伦敦的两个地点进行了纵向的回顾性服务评估.
- 对228名妇女的电子记录进行分析,重点关注寻求帮助的行为和转介流程.
- 使用适应的世界卫生组织遭遇形式和单变量和多变量分析.
主要成果:
- 从疾病发作到服务接触的中位时间为20周.
- 大多数女性 (63%) 使用了简单的途径,通过初级保健 (69%) 获得服务.
- 服务地点是路径类型和患者旅程持续时间的最强预测因素,而不是临床表现或患者特征.
结论:
- 患者通往社区围产期心理健康服务的途径存在显著的变化.
- 途径变化是由服务水平因素驱动的,而不是患者需求或临床差异.
- 需要在国家和国际上进行进一步的研究,以了解路径变化及其结果.
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