Bryn Mawr Graduate School of Social, Work and Social Research, PA, USA.
Psychiatr Rehabil J. 2012 Spring;35(4):315-23. doi: 10.2975/35.4.2012.315.323.
Persons with psychiatric disabilities are at greater risk for medical comorbidity, and prior research suggests these persons may underutilize health services. In response, this study examined the impact of engagement in psychiatric rehabilitation services, including case management, on utilization of general health services among persons with psychiatric disabilities engaged in supported housing, while controlling for demographic and clinical characteristics.
Poisson regression analyses were used to examine the impact of socio-demographic, clinical, and service characteristics on reported utilization of general health services in the past year.
Findings indicated supported housing residents receiving case management coupled with weekly contact with residential support services visited a general health practitioner more frequently than those with less support services.
Study results suggest psychiatric rehabilitation services provided to persons in the context of safe and affordable housing may represent an important mechanism for enabling persons with psychiatric disorders to access needed medical care.
精神障碍患者患多种疾病的风险更高，既往研究表明，这些患者可能对卫生服务的利用率较低。有鉴于此，本研究通过控制人口统计学和临床特征，调查了精神康复服务（包括个案管理）的参与对参与保障性住房的精神障碍患者对一般健康服务的利用的影响。
采用泊松回归分析，考察了社会人口统计学、临床和服务特征对过去一年一般健康服务使用情况的影响。
研究结果表明，与接受较少保障性服务的患者相比，接受个案管理和每周与居住支持服务联系的保障性住房居民更频繁地去看一般健康医生。
研究结果表明，在安全且负担得起的住房环境中为精神障碍患者提供的精神康复服务，可能是使精神障碍患者获得所需医疗服务的一个重要机制。
