Huang Hsin-Hui, Chen Chuan-Yu, Tsay Jen-Huoy, Chou Yiing-Jenq, Huang Nicole
Institute of Public Health, National Yang Ming University, No.155, Sec. 2, Linong St., Beitou Dist., Taipei City, 112, Taiwan, Republic of China.
Department of Social Work, National Taiwan University, No.1, Sec. 4, Roosevelt Rd., Da'an Dist., Taipei City, 106, Taiwan, Republic of China.
Community Ment Health J. 2017 Jul;53(5):578-588. doi: 10.1007/s10597-017-0123-x. Epub 2017 Mar 9.
This study aimed to determine whether adequate continuity of care (COC) existed among individuals with schizophrenia, and what the associated determinants were. The National Health Insurance Research Database of Taiwan was used to identify individuals with newly diagnosed schizophrenia from 2000 to 2009. Two outcome indicators were first derived to conduct the continuity assessment based on the usual provider continuity (UPC) index and the continuity of care index (COCI). The average scores of the UPC and COCI were 0.78 and 0.67, respectively. Patients who have been hospitalized, with lower income, and unemployed had significantly poorer continuity of care. In addition, patients were cared for by higher caseload physicians, treated at mental health specialty institutions, and at hospital outpatient settings also experienced significantly poorer continuity. Patients cared for by middle-aged physicians, psychiatrists, and treated at private institutions had significantly better continuity of mental health care.
本研究旨在确定精神分裂症患者中是否存在足够的连续性护理（COC），以及相关的决定因素是什么。台湾国民健康保险研究数据库用于识别2000年至2009年新诊断为精神分裂症的患者。首先根据常规提供者连续性（UPC）指数和连续性护理指数（COCI）得出两个结果指标来进行连续性评估。UPC和COCI的平均得分分别为0.78和0.67。住院患者、低收入患者和失业患者的连续性护理明显较差。此外，由高工作量医生护理、在精神卫生专科医院和医院门诊接受治疗的患者，其连续性也明显较差。由中年医生、精神科医生护理以及在私立机构接受治疗的患者，其精神卫生护理的连续性明显更好。
