Sobel S N, Anisman S, Hamdy H I
Franklin-Grand Isle Mental Health Service, St. Albans, VT 05478, USA.
Community Ment Health J. 1998 Apr;34(2):157-63. doi: 10.1023/a:1018741018669.
Various factors may contribute to cyclical fluctuations in mental health emergency service utilization. Information regarding service utilization patterns would assist the planning and administration of such programs. Five years of data on emergency service contacts at a rural community mental health center were analyzed retrospectively in order to clarify which of an array of potential factors actually affect the utilization of emergency services. One way analyses of variance (ANOVA) or analogous nonparametric tests were performed. Furthermore analyses of significant group differences were performed by means of multiple comparison tests and confidence intervals. Significant associations with number of emergency contacts were found for season, day of week, holidays, school vacations and weather conditions. This study helps to elucidate those factors affecting psychiatric emergency service utilization at a rural community mental health center. Such factors may differ from those affecting other indicators of psychopathology.
多种因素可能导致心理健康应急服务利用率的周期性波动。有关服务利用模式的信息将有助于此类项目的规划和管理。为了弄清楚一系列潜在因素中哪些实际上会影响应急服务的利用情况，对一家农村社区心理健康中心五年的应急服务接触数据进行了回顾性分析。进行了单因素方差分析（ANOVA）或类似的非参数检验。此外，通过多重比较检验和置信区间对显著的组间差异进行了分析。发现季节、星期几、节假日、学校假期和天气状况与应急接触次数存在显著关联。本研究有助于阐明影响农村社区心理健康中心精神科应急服务利用的那些因素。这些因素可能与影响精神病理学其他指标的因素不同。
