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澳大利亚国家围产期抑郁倡议的政策影响:产后第一年的精神科住院治疗。

Policy Impacts of the Australian National Perinatal Depression Initiative: Psychiatric Admission in the First Postnatal Year.

机构信息

Department of Economics, Deakin University, 221 Burwood Highway, Building LB, Burwood, VIC, 3125, Australia.

Deakin Health Economics, School of Health and Social Development, Deakin University, Burwood, VIC, Australia.

出版信息

Adm Policy Ment Health. 2019 May;46(3):277-287. doi: 10.1007/s10488-018-0911-9.

Abstract

This paper helps to quantify the impact of the Australian National Perinatal Depression Initiative (NPDI) on postnatal inpatient psychiatric hospitalisation. Based on individual hospital admissions data from New South Wales and Western Australia, we found that the NPDI reduced inpatient psychiatric hospital admission by up to 50% [0.9% point reduction (95% CI 0.70-1.22)] in the first postnatal year. The greatest reduction was observed for adjustment disorders. The NPDI appears to be associated with fewer post-birth psychiatric disorders hospital admissions; this suggests earlier detection of psychiatric disorders resulting in early care of women at risk during their perinatal period.

摘要

这篇论文有助于量化澳大利亚国家围产期抑郁倡议(NPDI)对产后住院精神科治疗的影响。基于新南威尔士州和西澳大利亚州的个人住院数据,我们发现 NPDI 在产后第一年将住院精神科治疗的入院率降低了 50%[0.9%点降低(95%CI 0.70-1.22)]。最大的降幅出现在适应障碍。NPDI 似乎与产后精神障碍住院治疗的减少有关;这表明对精神障碍的早期发现,有助于在围产期对有风险的妇女进行早期护理。

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