精神病学预先指示:对一个大型县医院当前使用情况的分析
Vivek Mathesh1, Kayla Murphy1, Mashal Ali1
1Department of Psychiatry University of Texas Southwestern Medical Center Dallas Texas USA.
Psychiatric research and clinical practice
|December 19, 2025
概括
很少有患者完成精神病预先指令 (PADs),尽管精神疾病的流行. 一项对41,421名患者的研究发现电子健康记录中没有PAD,这突显了心理健康计划中的关键差距.
科学领域:
- 精神病学是一个精神病学.
- 医疗信息学 医疗信息学
- 患者倡导 患者倡导
背景情况:
- 医疗预先指示是常见的,但精神病预先指示 (PADs) 不是,尽管精神疾病的高率.
- PAD允许精神疾病患者在急性发作期间记录护理偏好.
- 了解PAD在临床实践中的使用是有限的,因为研究很少.
研究的目的:
- 调查和描述一个大型县卫生系统中精神病学预先指示 (PADs) 的使用情况.
- 分析电子健康记录 (EHR) 数据,以确定PAD完成和使用的模式.
- 解决PAD在现实世界临床环境中的实施知识差距.
主要方法:
- 检索了所有成年患者 (18+) 的EHR数据,在2022年获得住院或观察性出院.
- 采样患者扫描了预先指令文件,用于PAD存在的评估.
- 利用了超过41,000名患者的大规模EHR分析.
主要成果:
- 分析包括来自卫生系统的41,421名患者.
- 在分析的患者群体中,没有发现完成精神病学预先指示 (PAD) 的情况.
- 这表明在这个庞大的医疗保健机构中完全没有记录的PADs.
结论:
- 尽管有PAD模板可用,但没有发现完成的PAD,这表明存在显著的利用差距.
- 对于医疗保健提供者来说,对PAD的重要性的进一步教育至关重要.
- 建议在卫生系统层面推广适当和包容性的PAD使用.
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