Koens Sarah, Klein Jens, Härter Martin, Strauß Annette, Scherer Martin, Schäfer Ingo, von dem Knesebeck Olaf
Institut für Medizinische Soziologie, Universitätsklinikum Hamburg-Eppendorf.
Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf.
Psychiatr Prax. 2024 May;51(4):209-215. doi: 10.1055/a-2230-3163. Epub 2024 Feb 15.
To investigate variations in intended utilization in cases of an acute psychotic episode, an alcohol related or depressive disorder depending on different case characteristics.
A telephone survey with case vignettes was conducted (N=1,200). Vignettes varied in terms of urgency of symptoms, daytime, sex of the afflicted person and age/mental disorder. The respondents were asked to indicate whom they would contact first in the described case.
Outpatient physicians were named most frequently as the first point of contact (61.1%) while only 6.5% of the respondents named emergency medicine including the medical on call service (8.1% in high urgency cases, i. e. emergencies that did not tolerate any delay). Intended utilization varied by urgency and age/mental illness.
More Information about the need to seek medical help immediately in cases of mental illnesses with high urgency should be provided.
根据不同的病例特征，调查急性精神病发作、酒精相关障碍或抑郁症患者预期就诊情况的差异。
开展了一项针对病例 vignettes 的电话调查（N = 1200）。vignettes 在症状紧急程度、白天时间、患者性别以及年龄/精神障碍方面存在差异。要求受访者指出在所述病例中他们首先会联系谁。
门诊医生被提及作为首要联系对象的频率最高（61.1%），而只有 6.5%的受访者提到了包括随叫随到医疗服务在内的急诊医学（在高紧急程度病例中为 8.1%，即不容任何延误的紧急情况）。预期就诊情况因紧急程度和年龄/精神疾病而异。
对于高紧急程度的精神疾病病例，应提供更多关于立即寻求医疗帮助必要性的信息。
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