与中国精神和行为障碍患者意外再入院相关的因素:定量分析
Sha Lai1, Zechen Wang1, Chi Shen1
1Health Management and Policy Institute, School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, China.
Global health action
|January 20, 2025
概括
由于精神和行为障碍 (MBDs) 而非计划性再入院发生在8.6%. 个人,医院和城市层面的因素影响再接收风险,需要共同改善医疗保健.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
背景情况:
- 精神和行为障碍 (MBD) 患者的无计划再接收会对康复产生负面影响,并增加医疗保健成本.
- 识别导致这些再入院的因素对于改善患者的治疗结果和系统效率至关重要.
研究的目的:
- 确定中国MBD的31天无计划住院患者再入院率.
- 确定这些再入院的个人,医院和上下文决定因素.
主要方法:
- 分析了来自中国10个城市99家公立医院的MBD住院病例49352例.
- 利用多层次的逻辑回归来检查多层次的决定性概况.
主要成果:
- 31天的无计划再接收率为8.6%.
- 在城市的全科医生可用性与重新接收风险的降低相关.
- 个人因素 (人口统计,疾病特征,临床数据) 始终影响再接收,而医院因素因子组而异.
结论:
- 卫生系统,医院和患者之间的协作努力对于减少MBD再入院至关重要.
- 卫生系统应该加强护理的获取,质量和连续性,鼓励医院.
- 医院必须优先识别和有效管理高风险MBD患者.
相关概念视频
01:29Psychological and Sociocultural Causes of Schizophrenia
984
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
984
01:30Community Based Intervention
623
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
623