Hackman Ann L, Goldberg Richard W, Brown Clayton H, Fang Li Juan, Dickerson Faith B, Wohlheiter Karen, Medoff Deborah R, Kreyenbuhl Julie A, Dixon Lisa
Department of Psychiatry, University of Maryland School of Medicine, Baltimore 21201, USA.
Psychiatr Serv. 2006 Apr;57(4):563-6. doi: 10.1176/ps.2006.57.4.563.
This study identified factors associated with use of the emergency department for medical reasons among individuals with serious mental illness.
A total of 200 randomly selected outpatients who were receiving community-based psychiatric care were recruited for the study and interviewed with items from the National Health Interview Survey and other national health surveys.
Emergency department use (37 percent of the sample) was negatively associated with older age and positively associated with the number of co-occurring medical conditions, smoking, recent injury, and recent change in health care provider.
The relatively high rate of emergency department use may be suggestive of inappropriate use or may reflect perceived barriers to care. Future work should identify specific reasons for seeking care in the emergency department and develop interventions to optimize appropriate emergency department use.
本研究确定了严重精神疾病患者因医疗原因使用急诊科的相关因素。
共招募了200名随机选取的接受社区精神科护理的门诊患者参与研究，并使用来自国家健康访谈调查和其他国家健康调查的项目进行访谈。
急诊科使用率（样本的37%）与年龄较大呈负相关，与共病医疗状况的数量、吸烟、近期受伤以及近期更换医疗服务提供者呈正相关。
急诊科较高的使用率可能表明存在不适当使用的情况，或者可能反映出就医过程中存在的感知障碍。未来的工作应确定在急诊科就医的具体原因，并制定干预措施以优化急诊科的合理使用。
