Piane GinaMarie
National University, Costa Mesa, CA, USA.
Gerontol Geriatr Med. 2015 Nov 5;1:2333721415614224. doi: 10.1177/2333721415614224. eCollection 2015 Jan-Dec.
Explores significant differences in types of mental health facilities accessed by and services received by elderly in the United States as compared with the total population, how frequently chronic disease management needs are met, and variance by state. Secondary analysis of the National Mental Health Services Survey (N-MHSS), 2010, of 15,562 facilities in the United States comparing the type of mental health services used by the elderly to the general population. The highest proportion of patients 65 and older in residential treatment was in General Hospitals (17% were elderly) and by the Veteran's Affairs (VA; 15% were elderly). General Hospitals and the VA system need to prepare for the increase in the number of patients with mental illnesses and diminished capacity who are simultaneously being treated for chronic conditions. Coordinated care of patients with these comorbidities is needed.
探讨了与总人口相比，美国老年人使用的心理健康设施类型和接受的服务存在的显著差异、慢性病管理需求得到满足的频率以及各州之间的差异。对2010年美国全国心理健康服务调查（N-MHSS）中15562家机构进行二次分析，比较老年人与普通人群使用的心理健康服务类型。65岁及以上患者在住院治疗中占比最高的是综合医院（17%为老年人）和退伍军人事务部（VA；15%为老年人）。综合医院和VA系统需要为同时患有慢性病的精神疾病患者数量增加和能力下降做好准备。需要对这些合并症患者进行协调护理。
