心理障碍的高急诊室使用者的护理障碍 - - 混合方法研究
Tiffany Chen1, Marie-Josée Fleury1,2
1Department of Psychiatry, Douglas Mental Health University Institute Research Centre, McGill University, Montreal, Quebec, Canada.
患有精神障碍 (MD) 的患者使用高级急诊室 (ED) 与未满足的需求和结构性障碍有关. 改善医疗保健服务和解决这些障碍可以减少这一群体的ED访问.
科学领域:
- 医疗保健的获取和利用
- 心理健康服务研究 心理健康服务研究
- 紧急医疗 紧急医疗
背景情况:
- 急诊室 (ED) 的高利用率是一个全球性的问题,精神障碍患者 (MD) 是其中的重要贡献者.
- 了解MD患者门诊护理的障碍对于提高医疗保健系统效率和以患者为中心的干预至关重要.
研究的目的:
- 分析患者的特征,服务的使用,以及与MD患者中高ED使用相关的障碍 (结构和动机) .
- 确定导致这一群体未得到满足的护理需求的因素.
主要方法:
- 使用调查数据,医疗记录 (n=182) 和来自MD的高ED用户的开放式问题 (n=20) 的混合方法方法方法.
- 采用多变量回归和主题分析来确定变量与护理障碍之间的关联.
主要成果:
- 在解释高使用ED时,结构性障碍比激励性障碍更为普遍.
- 患有更多未满足护理需求的患者报告了更多进入门诊服务的障碍.
- 对服务的不满部分与增加的护理障碍有关.
结论:
- 医疗保健服务需要显著改进,以减少MD患者中高ED利用率.
- 进一步调查未得到满足的需求对于开发有针对性的干预措施来解决这一脆弱群体的护理障碍至关重要.
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