精神分裂症患者的就诊距离与住院治疗的使用情况
Travel distance and the use of inpatient care among patients with schizophrenia.
作者信息
Tseng Kuan-Chiao, Hemenway David, Kawachi Ichiro, Subramanian S V, Chen Wei J
机构信息
Department of Psychiatry, National Taiwan University Hospital, No. 7 Chung-san S. Rd, Taipei 100, Taiwan, ROC.
出版信息
Adm Policy Ment Health. 2008 Sep;35(5):346-56. doi: 10.1007/s10488-008-0175-x. Epub 2008 May 30.
Abstract
This study examines the variations in the use of inpatient care that can be explained by travel distance among patients with schizophrenia living in Taiwan. Data were drawn from the Psychiatric Inpatient Medical Claims Database. We used mediation analysis and multilevel analysis to identify associations. Travel distance did not significantly account for lower readmission rates after an index admission, but significantly explained the longer length of stay of an index admission by 9.3 days (P<0.001, 85% of variation) between remote and non-remote regions. Policies are discussed aimed at reducing the impact of travel distance on rural mental health care through inter-disciplinary collaboration and telepsychiatry.
摘要
本研究探讨了台湾地区精神分裂症患者住院治疗使用情况的差异，这些差异可由出行距离来解释。数据取自精神科住院医疗理赔数据库。我们采用中介分析和多层次分析来确定相关性。出行距离对首次入院后的再入院率降低并无显著影响，但显著解释了偏远地区与非偏远地区之间首次入院住院时间延长9.3天的现象（P<0.001，变异率85%）。本文讨论了旨在通过跨学科合作和远程精神病学来减少出行距离对农村精神卫生保健影响的政策。
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