症状严重程度和治疗需求在种族群体中寻求治疗的情绪结果计划
Jorge A Sanchez-Ruiz1, Jason Straub1, Peter P Zandi1
1Department of Psychiatry and Psychology (Sanchez-Ruiz, Frye, Taylor-Desir) and Department of Quantitative Health Sciences (Coombes), Mayo Clinic, Rochester, Minnesota; Department of Psychiatry and Behavioral Sciences, School of Medicine, Johns Hopkins University, Baltimore (Straub, Zandi); Department of Psychiatry, University of Illinois at Chicago (Ajilore); Department of Psychiatry, Dell Medical School, The University of Texas at Austin, Austin (Strakowski).
概括
国家抑郁症中心网络 (NNDC) 情绪结果计划揭示了心理健康护理的重大未满足需求. 患有严重情绪障碍症状的个人接受的访问较少,突出显示了获得治疗的系统性障碍.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
背景情况:
- 情绪障碍是一个重大的公共卫生挑战,持续存在治疗缺口.
- 目前的干预措施往往缺乏有针对性的应用和足够强调预防策略.
- 基于测量的护理和学习健康系统为改善心理健康结果提供了潜在的解决方案.
研究的目的:
- 分析来自全国抑郁症中心网络 (NNDC) 情绪结果计划的数据.
- 识别社会人口统计学群体在心理健康护理获取和治疗强度方面的差异.
- 评估基于测量的护理计划的有效性,并将其整合到常规临床实践中.
主要方法:
- 自2015年以来NNDC情绪结果计划纵向数据的分析.
- 评估基线症状严重程度,自杀想法/尝试史,治疗时间和症状轨迹.
- 在各种社会人口统计学类别中比较这些指标.
主要成果:
- 在患者群体中发现了大量未满足的治疗需求.
- 症状严重程度最高的个体没有获得比例较高的临床检查次数.
- 在不同的社会人口统计学群体中观察到护理获取和利用的差异.
结论:
- 系统性障碍阻碍了对情绪障碍的心理健康护理的公平获取.
- 该NNDC心情结果计划的综合方法是很好的定位来识别和解决这些障碍.
- 需要进一步努力,以拆除系统性障碍,并确保为所有情绪障碍患者提供足够的护理.
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