评估精神疾病推请求的接受:来自沙特阿拉伯的全国电子推数据
Abdullah A Alharbi1, Nawfal A Aljerian2,3,4, Hani A Alghamdi5
1Family and Community Medicine Department, Faculty of Medicine, Jazan University, Jazan City, Kingdom of Saudi Arabia.
Journal of multidisciplinary healthcare
|February 17, 2025
概括
沙特阿拉伯的电子推系统 (SMARC) 改善了心理健康护理的准入,接受率为82.5%. 诸如转诊紧迫性和精神病医生的可用性等因素影响了接受率,突出显示了该系统在资源分配方面的有效性.
科学领域:
- 数字健康数字健康
- 精神卫生保健系统 精神卫生保健系统
- 医疗保健服务研究 医疗服务研究
背景情况:
- 精神疾病是全球疾病负担的主要原因,影响生活质量和预期寿命.
- 由于专家短缺和地理障碍,医疗保健系统在提供精神卫生保健方面面临着挑战.
- 沙特阿拉伯实施了全国电子推系统 (SMARC),以提高心理健康护理的可访问性.
研究的目的:
- 检查SMARC系统在促进心理健康服务获取方面的有效性.
- 分析SMARC系统中医疗机构之间的患者转移接受率.
- 确定影响心理健康推接受率的因素.
主要方法:
- 通过SMARC (2020年1月至2021年12月) 分析了9722份精神健康电子转诊的回顾性横截面研究.
- 描述性统计数据用于描述推模式.
- 双变量和多变量后勤回归分析,以确定与转介验收相关的因素,计算调整的赔率比率 (aOR) 和95%置信区间.
主要成果:
- 斯马克系统的整体接受率达到82.5%.
- 救命推的接受率最高 (aOR = 2.60),而外部推的接受率较低 (aOR = 0.51).
- 精神科医生的可用性显著影响了接受率 (aOR = 1.36),在各年龄组和地区观察到差异.
结论:
- 通过将患者的需求与可用的资源相匹配,SMARC有效地优化了心理健康服务的获取.
- 该系统的接受模式表明基于临床紧迫性和资源可用性的优先级.
- 斯马克模型为全球实施数字推系统提供了一个框架,以改善精神卫生保健协调.
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