Department of Family Medicine, Primary Care Research Institute, The State University of New York at Buffalo, 462 Grider Street, SUNY Clinical Center, Buffalo, NY 14215, USA.
Community Ment Health J. 2010 Aug;46(4):398-402. doi: 10.1007/s10597-010-9300-x. Epub 2010 Mar 5.
Persons with serious mental illnesses suffer excess medical morbidity compared to the general population. This RCT aimed to determine whether navigators are effective in helping patients connect to primary care after psychiatric crisis. Adults presenting for emergency care were randomly assigned to a navigator versus usual care. Navigators facilitated access to primary care. Outcomes were connection rates to medical care and the impact of health insurance, hospitalization and mental health care on primary care attendance. After 1 year, the intervention group was statistically more likely to access care, versus controls (62.4 vs. 37.6%, P < .001). Navigators were effective in helping patients connect to primary care after a psychiatric crisis. Improved access to primary care is important given the complex chronic health problems of this vulnerable cohort.
与一般人群相比，患有严重精神疾病的人有更多的医疗发病。这项 RCT 旨在确定导航员是否能有效帮助患者在精神科危机后与初级保健建立联系。出现紧急护理的成年人被随机分配到导航员与常规护理组。导航员帮助他们获得初级保健。结果是连接医疗保健的比率，以及医疗保险、住院和精神保健对初级保健就诊的影响。一年后，与对照组相比，干预组获得医疗服务的比例更高（62.4%对 37.6%，P <.001）。导航员在帮助精神科危机后的患者与初级保健建立联系方面非常有效。鉴于这一脆弱群体的复杂慢性健康问题，改善获得初级保健的机会非常重要。
