共置的一般医疗护理与预防可避免的住院治疗，用于患有严重精神疾病的退伍军人。

Colocated general medical care and preventable hospital admissions for veterans with serious mental illness.

机构信息

Providence Department of VeteransAffairs (VA) Medical Center, Providence, RI02908-4799, USA.

出版信息

Psychiatr Serv. 2011 May;62(5):554-7. doi: 10.1176/ps.62.5.pss6205_0554.

DOI:10.1176/ps.62.5.pss6205_0554

PMID:21532086

Abstract

OBJECTIVE

This study examined whether veterans with serious mental illness in mental health settings with colocated general medical care had fewer hospitalizations for ambulatory care-sensitive conditions than veterans in other settings.

METHODS

Using 2007 data, the study examined hospitalizations for ambulatory care-sensitive conditions with zero-inflated negative binomial regression controlling for demographic, clinical, and facility characteristics.

RESULTS

Of 92,268 veterans with serious mental illness, 9,662 (10.5%) received care at ten sites with colocated care and 82,604 (89.5%) at 98 sites without it. At sites without colocation, 5.1% had a hospitalization for an ambulatory care-sensitive condition, compared with 4.3% at sites with colocation. Attendance at sites with colocated care was associated with an adjusted count of hospitalizations of .76 compared with attendance at sites with no colocation (β=-.28, 95% confidence interval=.47 to -.09, p=.004).

CONCLUSIONS

Colocation of general medical services in the mental health setting was associated with significantly fewer preventable hospitalizations.

摘要

目的

本研究旨在探讨在设有共同普通医疗服务的精神卫生机构中接受治疗的患有严重精神疾病的退伍军人与在其他环境中接受治疗的退伍军人相比，其因门诊医疗服务敏感条件而住院的情况是否更少。

方法

本研究使用 2007 年的数据，通过零膨胀负二项回归，控制人口统计学、临床和机构特征，对门诊医疗服务敏感条件的住院情况进行了检查。

结果

在 92268 名患有严重精神疾病的退伍军人中，有 9662 名（10.5%）在设有共同护理的十个地点接受治疗，而 82604 名（89.5%）在没有共同护理的 98 个地点接受治疗。在没有共同配置的地点，有 5.1%的人因门诊医疗服务敏感条件住院，而在有共同配置的地点，这一比例为 4.3%。与没有共同配置的地点相比，在设有共同配置的地点接受治疗与调整后的住院次数计数相关，其差值为 0.76（β=-.28，95%置信区间为.47 至 -.09，p=.004）。