行为健康状况人群中对紧急医疗转运和住院的利用。
Utilization of emergency medical transports and hospital admissions among persons with behavioral health conditions.
机构信息
School of Social Work, University of North Carolina at Chapel Hill, USA.
出版信息
Psychiatr Serv. 2010 Apr;61(4):412-5. doi: 10.1176/ps.2010.61.4.412.
OBJECTIVE
Emergency medical services transport and emergency department misuse among persons with behavioral health conditions is a concern. Administrative data were used to examine medical transports and hospital admissions among persons with behavioral health conditions.
METHODS
Data on 70,126 medical transports to emergency departments in three southeastern counties were analyzed.
RESULTS
Compared with general medical transports, fewer behavioral health transports resulted in a hospital admission. Among behavioral health transports, persons with schizophrenia were 2.62 times more likely than those with substance use disorders to be admitted, and persons with mood disorders were 4.36 times more likely than those with substance use disorders to be admitted. Also, among behavioral health transports, rural transports were less likely than more urban transports to result in a hospital admission.
CONCLUSIONS
More training of emergency medical services personnel and more behavioral health crisis resources, especially targeting rural areas and substance use disorders, are needed.
目的
行为健康状况患者的紧急医疗服务转运和急诊部门滥用令人担忧。利用行政数据，研究了行为健康患者的医疗转运和住院情况。
方法
对三个东南县急诊科的 70126 例医疗转运数据进行了分析。
结果
与一般医疗转运相比，较少的行为健康转运导致住院。在行为健康转运中，精神分裂症患者的住院可能性是物质使用障碍患者的 2.62 倍，心境障碍患者的住院可能性是物质使用障碍患者的 4.36 倍。此外，在行为健康转运中，农村转运较城市转运更不可能导致住院。
结论
需要对紧急医疗服务人员进行更多培训，并提供更多行为健康危机资源，特别是针对农村地区和物质使用障碍。
Zotero 插件