初级卫生保健中的精神疾病患者。对医疗保健利用情况及与精神科护理接触模式的长期随访。

Patients with mental illness in primary health care. A long-term follow-up of health care utilization and contact patterns with psychiatric care.

作者信息

Hansson L, Persson K B, Borgquist L

机构信息

Department of Psychiatry, University of Lund, Sweden.

出版信息

Scand J Prim Health Care. 1997 Sep;15(3):129-33. doi: 10.3109/02813439709018502.

DOI:10.3109/02813439709018502

PMID:9323779

Abstract

OBJECTIVE

Long-term follow-up of the use of health care services in patients with a mental illness identified in primary care. A 10-year follow-up of all health care utilization in five 1-year cohorts of patients with a mental illness identified in primary health care services of a Swedish health care district.

PATIENTS

1167 (408 males, 759 females) with mental illness.

RESULTS

A total of 27.1% of the patients were in contact with psychiatric services during follow-up. The strongest associations with contact with psychiatric services concerned age (younger) and diagnosis (dependence, affective psychosis). Patients with a diagnosis of psychosis had the highest utilization of psychiatric services. Patients in contact with psychiatric care had a higher consumption of primary health care and of somatic outpatient and inpatient care. A subgroup identified as high consumers consumed 44% of the total health care resources used by the cohort.

CONCLUSION

The use of health care services was very skewed. Patients in contact with psychiatric services were more frequent users of other medical services.

摘要

目的

对在初级保健中确诊的精神疾病患者使用医疗服务的情况进行长期随访。对瑞典一个医疗保健区初级卫生保健服务中确诊的五个1年队列的精神疾病患者的所有医疗保健利用情况进行10年随访。

患者

1167名（408名男性，759名女性）精神疾病患者。

结果

随访期间共有27.1%的患者与精神科服务机构有接触。与精神科服务机构接触最密切的因素包括年龄（较年轻）和诊断（依赖、情感性精神病）。诊断为精神病的患者对精神科服务的利用率最高。接受精神科护理的患者对初级卫生保健以及躯体门诊和住院护理的消费量更高。被确定为高消费者的一个亚组消耗了该队列使用的总医疗保健资源的44%。