北卡罗来纳州围产期医疗补助受益人群中的行为健康趋势
Alexis French1, Kelly A Jones2, Naomi O Davis1
1Department of Psychiatry and Behavioral Sciences, School of Medicine, Duke University.
North Carolina medical journal
|November 4, 2024
概括
围产期行为健康状况很常见,影响了近四分之一的医疗补助受益者. 包括处方和服务在内的治疗率仍然很低,这凸显了这一脆弱人群的重大护理差距.
科学领域:
- 围产期心理健康问题
- 获得医疗保健的机会和差距
- 医疗补助使用情况
背景情况:
- 未经治疗的围产期行为健康状况对母婴死亡率和发病率构成重大风险.
- 围产期是解决心理健康问题的关键窗口.
- 医疗补助计划的受益者代表着一个面临这些挑战的关键人群.
研究的目的:
- 检查从2017年到2022年,围产期医疗补助受益人群中行为健康状况的趋势.
- 分析该人口接受的治疗模式,包括心理药物处方和行为健康服务.
- 描述医疗保健提供者为孕期医疗补助受益人提供服务的特点.
主要方法:
- 从2017年到2022年对医疗补助申请数据的回顾性分析.
- 识别受益者与行为健康诊断在产周期期间.
- 心理药物处方填充和行为健康服务利用量的量化.
主要成果:
- 有相当一部分 (24.4%) 的孕期医疗补助受益者被诊断出患有行为健康状况.
- 这些受益者的13.8%被处方精神药物.
- 只有7.1%的人获得了正式的行为健康服务,这表明治疗缺口.
结论:
- 在围产期的医疗补助人口中存在着显著的行为健康状况的流行.
- 治疗参与度,特别是在行为健康服务方面,很低,这表明有未满足的需求.
- 需要进一步的研究和干预,以改善对围产期心理健康护理的准入.
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