中国南部精神病急救服务的发展趋势:七年后的回顾性分析
Cuiling Zhang1,2, Suiyun Weng1,2, Xiaoyu Zhang1,3
1Department of Outpatient and Emergency Department, National Clinical Key Specialty, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, 510370, China.
International journal of emergency medicine
|June 18, 2025
概括
中国南部的精神病应急服务 (PES) 显示出不断发展的趋势,包括增加自愿护理和年轻患者,但面临着紧张的资源,需要改善系统来应对未来的挑战.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 广州医科大学附属大脑医院是中国南部精神病紧急服务 (PES) 的重要提供者.
- 现有的研究缺乏大规模的,长期的回顾性研究,研究 PES 在该地区的演变.
研究的目的:
- 分析2018年至2024年中国南部一家主要医院精神病急救服务的演变趋势.
- 通过了解 PES 使用和特征的变化,为决策提供信息.
主要方法:
- 从精神病医疗急诊室 (PER) 的患者记录的回顾性分析.
- 年度聚合和使用百分比 (2018-2024) 的人口和临床变量的描述.
- 使用奇平方和费舍尔精确测试进行统计分析,以确定显著趋势.
主要成果:
- 观察到的趋势包括自愿寻求帮助的增加,更广泛的保险,谨慎的克制使用和精确的诊断.
- 发现年轻,受过高等教育,未婚和失业的患者数量增加.
- 发现了性别差距的扩大,医疗资源紧张,司法和医疗人员之间的决策不同,以及COVID-19期间的重大变化.
结论:
- 中国南部的公共服务部门取得了进展,但面临着诸如资源紧张和需要更好的转介系统等挑战.
- 建议包括扩大社区护理,制定强制措施的伦理准则,加强危机应对策略.
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