曾经脱离退伍军人事务部医疗保健的严重精神疾病退伍军人的护理保留率。
Care Retention Among Veterans with Serious Mental Illness who were once lost-to-Veterans Health Administration care.
机构信息
Serious Mental Illness Treatment Resource and Evaluation Center, VA Serious Mental Illness Treatment Resource and Evaluation Center, Office of Mental Health and Suicide Prevention, Veterans Health Administration, University of Michigan North Campus Research Complex, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48109-2800, USA.
Department of Psychology, University of Detroit Mercy, 4001 W. McNichols Road, Detroit, MI, 48221, USA.
出版信息
Psychiatr Q. 2023 Dec;94(4):633-644. doi: 10.1007/s11126-023-10049-4. Epub 2023 Sep 7.
OBJECTIVE
To evaluate care retention among Veterans with serious mental illness (SMI) who were lost to Veterans Health Administration (VHA) care for at least one year and subsequently returned to VHA care via the SMI Re-Engagement program, an outreach program for Veterans with SMI who are lost-to-care.
METHODS
For the 410 Veterans with SMI who returned to care via SMI Re-Engagement between April 4th, 2016 and January 31, 2018, we assessed VHA in-person and telehealth utilization (overall, primary care, mental health care) for two years following the date of return to care.
RESULTS
Care retention was common: 70.2% of Veterans had at least one encounter in each year of the two-year follow-up period and an additional 22.7% had at least one encounter during one of the two years. During the two-year follow-up period, 72.4% of Veterans had at least one primary care encounter and 70.7% of Veterans had at least one mental health care encounter. Adjusted binomial logistic regression analyses found a return-to-care encounter in primary care (OR = 2.70; 95% CI: 1.34, 5.42) predicted primary care retention, and a return-to-care encounter in mental health care (OR = 4.01; 95% CI: 2.38, 6.75) predicted mental health care retention.
CONCLUSION
Most Veterans who return to care via the SMI Re-Engagement program remain in VHA care for the subsequent two years.
目的
评估至少有一年时间未接受退伍军人健康管理局（VHA）治疗且随后通过严重精神疾病（SMI）重新参与计划（针对失去治疗的 SMI 退伍军人的外展计划）返回 VHA 治疗的 SMI 退伍军人的治疗保留情况。
方法
对于 2016 年 4 月 4 日至 2018 年 1 月 31 日期间通过 SMI 重新参与计划返回治疗的 410 名 SMI 退伍军人，我们评估了他们在返回治疗日期后的两年内的 VHA 面对面和远程医疗利用情况（总体、初级保健、心理健康保健）。
结果
治疗保留情况常见：70.2%的退伍军人在两年随访期的每一年都至少有一次就诊，另外 22.7%的退伍军人在其中一年至少有一次就诊。在两年的随访期间，72.4%的退伍军人至少有一次初级保健就诊，70.7%的退伍军人至少有一次心理健康保健就诊。调整后的二项式逻辑回归分析发现，初级保健的返回治疗就诊（OR=2.70；95%CI：1.34，5.42）预测了初级保健的保留，心理健康保健的返回治疗就诊（OR=4.01；95%CI：2.38，6.75）预测了心理健康保健的保留。
结论
大多数通过 SMI 重新参与计划返回治疗的退伍军人在随后的两年内仍留在 VHA 接受治疗。
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