基于驾驶时间分析德国儿童和青少年精神病治疗机构的准入
Lars Masanneck1,2, Jonathan Repple3,4, Sven G Meuth1
1Department of Neurology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Germany.
在德国,获得儿童和青少年精神病治疗的机会一般很好,但专门的成治疗设施很少,特别是在农村地区. 长时间的旅行时间可能会推迟对年轻患者的紧急护理.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 医疗保健获取研究 医疗保健获取研究
- 公共卫生中的地理信息系统 (GIS)
背景情况:
- 针对青少年精神疾病的结构化治疗计划已经建立,但其地理可用性尚不清楚.
- 德国对于年轻患者而言,专门的成治疗设施非常稀缺.
- 在获得儿童和青少年精神病治疗方面存在的区域差异需要调查.
研究的目的:
- 分析德国儿童和青少年精神保健设施的地理分布.
- 确定青少年获得专门成治疗的区域差异.
- 根据驾驶时间到精神病治疗中心来评估人口覆盖率.
主要方法:
- 基于驾驶时间的同位素分析被用来绘制精神病学门诊,住院病房,日间诊所和专门的成中心的访问地图.
- 计算了30分,60分,90分和120分钟的驾驶时间的同步值.
- 来自2025年全球人类定居点人口网格的人口数据被用于估计覆盖范围.
主要成果:
- 98%的德国人可以在1小时内到达一般精神病治疗单位.
- 获得专门的成诊所的机会明显较低,仅在1小时内覆盖了60.5%.
- 农村地区,特别是德国东北部,以及专门的成诊所在所有地区都缺乏服务.
结论:
- 德国显示出强大的整体青少年精神病治疗覆盖率.
- 仍然存在显著的区域差异,特别是影响农村人口和获得专门的成服务.
- 长时间前往医疗设施,特别是危机干预,对及时的患者护理构成了挑战.
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