Georgia Health Policy Center, Georgia State University, 14 Marietta Street NW, Atlanta, GA 30303, USA.
Community Ment Health J. 2011 Feb;47(1):106-12. doi: 10.1007/s10597-009-9218-3. Epub 2009 Jun 24.
This study's objective was to investigate how peer support relates to psychiatric hospitalization and crisis stabilization utilization outcomes. The likelihood of experiencing a psychiatric hospitalization or a crisis stabilization was modeled for consumers using peer support services and a control group of consumers using community mental health services but not peer support with 2003 and 2004 Georgia Medicaid claims data; 2003 and 2004 Mental Health, Developmental Disability, and Addictive Diseases (MHDDAD) Community Information System data; and 2003 and 2004 MHDDAD Hospital Information System data. Peer support was associated with an increased likelihood (odds = 1.345) of crisis stabilization, a decreased but statistically insignificant likelihood (odds = 0.871) of psychiatric hospitalization overall, and a decreased and statistically significant (odds = .766) likelihood of psychiatric hospitalization for those who did not have a crisis stabilization episode.
本研究旨在探究同伴支持与精神科住院和危机稳定治疗利用结果之间的关系。使用 2003 年和 2004 年佐治亚州医疗补助（Medicaid）索赔数据、2003 年和 2004 年精神健康、发育障碍和成瘾性疾病（Mental Health, Developmental Disability, and Addictive Diseases，MHDDAD）社区信息系统数据以及 2003 年和 2004 年 MHDDAD 医院信息系统数据，对使用同伴支持服务的消费者和使用社区精神卫生服务但不使用同伴支持的对照组消费者的精神科住院和危机稳定治疗利用情况进行建模，以评估同伴支持对上述情况的影响。结果显示，同伴支持与危机稳定治疗的利用几率增加（比值比=1.345）显著相关，与整体精神科住院的利用几率降低（比值比=0.871）但不显著相关，与未发生危机稳定治疗事件的精神科住院利用几率降低（比值比=0.766）且显著相关。
