急诊科中的儿童心理健康服务：获取机会的差异
Child Mental Health Services in the Emergency Department: Disparities in Access.
作者信息
Lynch Sean, Bautista Maria, Freer Cecilia, Kalynych Colleen, Hendry Phyllis
机构信息
From the *Department of Psychiatry, †Center for Health Equity and Quality Research, and ‡Department of Emergency Medicine, University of Florida-Jacksonville, Jacksonville, FL.
出版信息
Pediatr Emerg Care. 2015 Jul;31(7):473-8. doi: 10.1097/PEC.0000000000000336.
OBJECTIVE
Recent research suggests that increasing numbers of caregivers are bringing their children to the emergency department (ED) for mental health services and that a large proportion of these children have Medicaid as their insurance. The objective of this study was to examine the characteristics of children with Medicaid who present with psychiatric conditions in Florida hospital EDs.
METHODS
A retrospective research design was used, and the insurance claims of children who went to the ED for mental health care were analyzed. A logistic regression model was constructed to determine whether age, race, ethnicity, sex, and residence in an area with mental health professional shortage increased the odds of a psychiatric ED visit for children with Medicaid.
RESULTS
All 5 predictor variables were significantly associated with the likelihood of an ED visit for mental health reasons by children with Medicaid.
CONCLUSIONS
The ED is an entry point into the child mental health system of care for children with Medicaid.
目的
近期研究表明，越来越多的照料者带孩子前往急诊科（ED）寻求心理健康服务，且这些孩子中很大一部分拥有医疗补助保险。本研究的目的是调查在佛罗里达州医院急诊科就诊的患有精神疾病的医疗补助儿童的特征。
方法
采用回顾性研究设计，分析前往急诊科接受心理健康护理的儿童的保险理赔情况。构建逻辑回归模型，以确定年龄、种族、民族、性别以及居住在心理健康专业人员短缺地区是否会增加医疗补助儿童前往急诊科进行精神科就诊的几率。
结果
所有5个预测变量均与医疗补助儿童因心理健康问题前往急诊科就诊的可能性显著相关。
结论
急诊科是医疗补助儿童进入儿童心理健康护理系统的切入点。
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