探索与非紧急情况下急诊科用于精神卫生保健相关的因素。
Exploring the factors associated with non-urgent emergency department utilisation for mental health care.
作者信息
Mowbray Fabrice I, Omar Abeer E, Pfaff Kathyrn, El-Masri Maher M
机构信息
PhD student, Department of Health Research Methods, Evidence, and Impact, McMaster University, Canada.
Research Associate, Faculty of Nursing, University of Windsor, Canada.
出版信息
J Res Nurs. 2019 Dec;24(8):663-674. doi: 10.1177/1744987119845020. Epub 2019 Jul 8.
BACKGROUND
Emergency department visits for mental health care are on the rise across North America. Patients with mental illness are at an increased risk for frequent and non-urgent emergency department visitation.
AIMS
The purpose of this study was to examine the independent predictors of non-urgent emergency department use for mental health care.
METHODS
A secondary data analysis was conducted with archived data provided by the Erie St. Clair Local Health Integration Network in Ontario.
RESULTS
A total of 13,114 mental health-related emergency department visits were analysed using logistic regression with generalised estimating equations modelling. The findings suggest the following characteristics are predictive of non-urgent emergency department use for mental health care: age, season, time of day, access to primary health care, mode of arrival, hospital type, referral source and patient diagnosis.
CONCLUSIONS
The findings of this study can be utilised to assist clinicians and policy makers in identifying and managing patients using the emergency department for non-urgent mental health care.
背景
在北美，因心理健康问题前往急诊科就诊的人数呈上升趋势。患有精神疾病的患者频繁且非紧急地前往急诊科就诊的风险增加。
目的
本研究的目的是探讨非紧急情况下因心理健康问题使用急诊科的独立预测因素。
方法
对安大略省伊利圣克莱尔地方卫生整合网络提供的存档数据进行二次数据分析。
结果
使用广义估计方程建模的逻辑回归分析了总共13114次与心理健康相关的急诊科就诊。研究结果表明，以下特征可预测非紧急情况下因心理健康问题使用急诊科：年龄、季节、一天中的时间、获得初级卫生保健的机会、到达方式、医院类型、转诊来源和患者诊断。
结论
本研究结果可用于协助临床医生和政策制定者识别和管理使用急诊科进行非紧急心理健康护理的患者。
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