儿童精神科访视项目使用的医疗服务提供者的特征。
Characteristics of Providers Using a Child Psychiatry Access Program.
机构信息
University of MarylandSchool of Medicine (Cotton, Reinblatt) and Johns Hopkins University School of Medicine (Riddle, Bettencourt), Baltimore.
出版信息
Psychiatr Serv. 2021 Oct 1;72(10):1213-1217. doi: 10.1176/appi.ps.202000292. Epub 2021 May 7.
OBJECTIVE
Child psychiatry access programs (CPAPs) help increase access to mental health services. This study aimed to provide information on the types of pediatric primary care clinicians (PPCCs) who call Maryland's CPAP.
METHODS
Descriptive statistics and multinomial logistic regressions were conducted with data from 676 PPCCs who called Maryland's CPAP at least once between October 2012 and June 2019.
RESULTS
On average, PPCCs contacted Maryland's CPAP 6.8 times. Providers who called seven or more times were more likely to have an allopathic or osteopathic medicine degree and to specialize in pediatrics. Providers calling from rural regions were less likely to call only for referrals.
CONCLUSIONS
Most PPCCs contacted the CPAP for consultation or referrals but not both. PPCCs in rural areas were more likely to call for consultation, suggesting that they may be more likely to manage the care of patients with mental health conditions themselves, because of a lack of resources in their locations.
目的
儿童精神病学接入项目（CPAP）有助于增加获得心理健康服务的机会。本研究旨在提供有关拨打马里兰州 CPAP 的儿科初级保健临床医生（PPCC）的类型的信息。
方法
使用 2012 年 10 月至 2019 年 6 月期间至少拨打过一次马里兰州 CPAP 的 676 名 PPCC 的数据，进行描述性统计和多项逻辑回归分析。
结果
平均而言，PPCC 拨打马里兰州 CPAP 6.8 次。拨打 7 次或更多次的提供者更有可能拥有全科医学或骨科医学学位，并专门从事儿科。来自农村地区的提供者不太可能仅进行转诊。
结论
大多数 PPCC 联系 CPAP 是为了咨询或转诊，但不是两者都有。来自农村地区的 PPCC 更有可能进行咨询，这表明由于其所在地资源匮乏，他们更有可能自行管理有心理健康问题的患者的护理。
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