Key Laboratory of Environmental Medicine Engineering, Ministry of Education, School of Public Health, Southeast University, Nanjing, Jiangsu, China.
National Centre for Epidemiology and Population Health, College of Health and Medicine, Australian National University, Australian Capital Territory, Australia.
Int Health. 2023 Nov 3;15(6):723-733. doi: 10.1093/inthealth/ihad020.
People with affective disorder-induced disabilities (ADIDs) often experience complex needs that delay their healthcare. Discovering hidden patterns in these people for real-world use of health services is essential to improve healthcare delivery.
A cross-sectional study population (2501 adults with ADIDs) was obtained from the Australian national representative survey of disability in 2015, including 21 demographic, health and social characteristics and healthcare delay information in general practice, specialist and hospital services. The Self-Organising Map Network was used to identify hidden risk patterns associated with healthcare delay and investigate potential predictors of class memberships by means of simple visualisations.
While experiencing disability avoidance showed across different healthcare delays, labour force appeared not to have any influence. Approximately 30% delayed their healthcare to general practice services; these were young, single females in great need of psychosocial support and aids for personal activities. Those who delayed their healthcare commonly presented a lack of social connections and a need for contact with family or friends not living in the same household.
The pattern evidence provides an avenue to further develop integrated care strategies with better targeting of people with ADIDs, considering social participation challenges facing them, to improve health service utilisation.
患有情感障碍相关残疾（ADID）的人通常存在复杂需求，这会导致他们延迟寻求医疗保健。为了在现实中更好地利用医疗服务，发现这些人隐藏的模式对于改善医疗保健服务至关重要。
2015 年，我们从澳大利亚全国残疾代表性调查中获得了一个横断面研究人群（2501 名患有 ADID 的成年人），其中包括 21 项人口统计学、健康和社会特征以及普通实践、专科和医院服务中的医疗保健延迟信息。我们使用自组织映射网络来识别与医疗保健延迟相关的隐藏风险模式，并通过简单的可视化来调查潜在的类别成员预测因素。
尽管在不同的医疗保健延迟中都表现出残疾回避，但劳动力似乎没有任何影响。大约 30%的人延迟了他们的医疗保健到普通实践服务；这些人是年轻的、单身的女性，非常需要心理社会支持和个人活动的辅助工具。那些延迟医疗保健的人通常表现出缺乏社会联系，以及需要与不住在同一家庭的家人或朋友联系。
这些模式证据为进一步制定综合护理策略提供了途径，以便更好地针对患有 ADID 的人群，考虑到他们面临的社会参与挑战，以改善医疗服务的利用。
