精神卫生保健利用率和自杀率的区域差异:来自澳大利亚搬家公司的证据
Karinna Saxby1, Thomas Buchmueller2, Sonja C de New3
1The Melbourne Institute of Applied Economic and Social Research, The University of Melbourne, Melbourne, Australia.
Journal of health economics
|July 8, 2025
概括
位置因素显著影响精神卫生保健的获取,而不是患者的需求. 这突显了精神卫生服务和处方的区域供应问题,而不是过度使用.
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
- 心理健康政策 心理健康政策
背景情况:
- 糟糕的心理健康是一个重大的全球健康挑战.
- 在精神卫生保健利用方面存在着很高的未满足需求和区域差异.
- 了解区域差异的驱动因素对于公平获取至关重要.
研究的目的:
- 确定导致精神卫生保健利用区域差异的患者和地点因素.
- 分析这些因素对心理健康处方和服务使用的影响.
- 为解决心理健康护理获取差异的战略提供信息.
主要方法:
- 利用澳大利亚的人口普查相关的微数据.
- 采用跨区域迁移分析来区分患者和位置效应.
- 检查了精神卫生保健服务和处方 (抗抑郁药,抗焦虑药,抗精神病药) 的使用情况.
主要成果:
- 位置因素解释了72%的精神卫生保健服务利用率的区域差异.
- 位置因素解释了19%的精神健康处方使用的区域差异.
- 较大的位置效应与较少的心理健康相关的急诊室演示,自我伤害住院和自杀有关.
结论:
- 精神卫生保健利用率的区域差异主要是由与地点相关的因素驱动的.
- 调查结果表明,在利用率较低的地区,供应不足和不公平.
- 这项研究驳斥了高利用率地区高利用率低效的概念.
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