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作为社区医疗中行为健康识别、诊断及转诊的重要指标的筛查、简短干预及转介治疗(SBIRT)

SBIRT as a Vital Sign for Behavioral Health Identification, Diagnosis, and Referral in Community Health Care.

作者信息

Dwinnells Ronald

机构信息

Ohio North East Health Systems, Inc, Youngstown, Ohio

出版信息

Ann Fam Med. 2015 May-Jun;13(3):261-3. doi: 10.1370/afm.1776.

Abstract

The purpose of this quasi-experimental design study was to examine the effectiveness of the behavioral health Screening, Brief Intervention, and Referral to Treatment (SBIRT) program at a community health center. The study group was twice as likely (25.3%) to have depression and substance abuse diagnosed compared with the control group (11.4%) (P <.001). Referral rates for the study group were more likely to occur (12.4%) compared with referral rates for the control group (1.0%) (P <.001); however, the kept appointment rates by patients for behavioral health problems referrals remained low for both groups. SBIRT was effectively utilized in a community health center, resulting in increased rates for diagnosis of behavioral health problems and referrals of patients.

摘要

这项准实验设计研究的目的是检验社区健康中心的行为健康筛查、简短干预及治疗转介(SBIRT)项目的有效性。与对照组(11.4%)相比,研究组被诊断出患有抑郁症和药物滥用的可能性是对照组的两倍(25.3%)(P<.001)。与对照组的转介率(1.0%)相比,研究组的转介率更有可能出现(12.4%)(P<.001);然而,两组患者针对行为健康问题转介的预约留存率仍然很低。SBIRT在社区健康中心得到了有效利用,导致行为健康问题的诊断率和患者转介率有所提高。

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