Characteristics of primary care visits for individuals with severe mental illness in a national sample
Characteristics of primary care visits for individuals with severe mental illness in a national sample
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DOI：
10.1016/s0163-8343(02)00213-x
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发表时间：
2002-11-01
影响因子：
7
通讯作者：
Ford, DE
中科院分区：
文献类型：
--
作者：
Daumit, GL;Pratt, LA;Ford, DE
患有严重精神疾病（SMI）的个人面临着一般医疗和预防保健不足的风险，但对他们的初级保健就诊情况知之甚少。我们对1993-1998年全国门诊医疗调查（NAMCS）的初级保健医生就诊情况进行了横断面分析，并比较了有和没有重度精神分裂症患者的就诊特征。重度精神障碍是根据ICD-9诊断和药物来定义的。与非重度精神分裂症患者相比，重度精神分裂症患者的初级保健就诊更有可能是回访，时间更长，并且更有可能安排随访。肥胖、糖尿病和吸烟在重度精神分裂症患者就诊中所占的比例约为非重度精神分裂症患者的两倍。两组接受预防性咨询和针对慢性疾病的咨询的比例相似。可能适合他们的复杂需求，重度精神障碍患者使用初级保健往往有更多的回访，更长的时间与医生和更经常安排随访护理；他们的预防性咨询与非重度精神分裂症患者的拜访相似。(C) 2002爱思唯尔科学有限公司版权所有。
Individuals with severe mental illness (SMI) are at risk for inadequate general medical and preventive care, but little is known about their visits for primary care. We performed a cross-sectional analysis of primary care physician visits from the National Ambulatory Medical Care Survey (NAMCS) 1993-1998 and compared visit characteristics for patients with and without SMI. SMI was defined from ICD-9 diagnoses and medications. Primary care visits for patients with SMI were more likely to be return visits, were longer, and were more likely to have scheduled follow-up than for patients without SMI. Obesity, diabetes, and smoking were reported approximately twice as frequently in visits for patients with SMI compared to patients without SMI. The percent of visits with preventive counseling and counseling targeted at chronic medical conditions was similar for both groups. Likely appropriate to their complex needs, patients with SMI using primary care tend to have more return visits, longer time with the physician and are more often scheduled for follow-up care; their preventive counseling appears similar to non-SMI visits. (C) 2002 Elsevier Science Inc. All rights reserved.