儿科精神卫生寄宿:2017年至2023年
Kathleen D Snow1, Jonathan M Mansbach1, Christopher Cortina1
1Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Pediatrics
|February 12, 2025
概括
儿童医院的儿科精神卫生住院正在增加,复杂病例的住院时间更长. 这凸显了改善儿童获得精神病治疗的必要性.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 心理健康服务 心理健康服务
- 医疗服务研究 医疗服务研究
背景情况:
- 儿童心理健康 (MH) 寄宿在美国儿童医院普遍存在.
- 在等待转移到精神病医院期间,患者在船上.
研究的目的:
- 为了描述儿科MH登机遇的趋势.
- 为了确定与长时间停留登机时间相关的因素.
主要方法:
- 追溯的横截面研究.
- 分析了2017-2023年间在40家儿童医院的100784次寄宿接触.
- 混合效应物流回归用于识别长时间登机 (≥9天) 的风险因素.
主要成果:
- 平均逗留时间从3天增加到4天.
- 与长时间登机相关的因素包括年龄较大,政府保险,医疗复杂性增加,特定的精神疾病,季节和出院.
- 在医院之间观察到登机实践的显著差异.
结论:
- 儿童MH登机仍然很常见,COVID-19后的入境量和长度增加.
- 患有医疗和/或精神疾病复杂性的患者面临长时间的登机.
- 需要改善这些弱势儿童获得护理的机会.
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