The Effect of Community Mental Health Services on Hospitalization Rates in Virginia
The Effect of Community Mental Health Services on Hospitalization Rates in Virginia
复制标题
弗吉尼亚州社区心理健康服务对住院率的影响
作者：
T. Wanchek;E. McGarvey;R. Bonnie
目的
本研究探讨了40个公共资助的社区服务委员会（CSB）提供的精神卫生门诊服务的可用性和医疗补助受助人之间的住院精神卫生治疗的使用之间的关系。
方法
从弗吉尼亚州联邦医疗补助索赔数据库中获得了18-64岁医疗补助接受者的三年数据。有精神障碍诊断和接受过至少一次社区精神卫生服务的医疗补助接受者被纳入样本。采用多元回归模型进行分析。
结果
在纳入的11，107名个体中，27%患有精神分裂症相关障碍，32%患有情感性精神病; 60%为白色，37%为黑人;平均年龄为40.1±13.1岁。在这个样本中，更多地使用门诊心理健康服务，但没有更多的服务种类，与精神健康治疗的住院天数减少相关（-1.0. 2天住院）。
结论
弗吉尼亚州的CSB提供一系列门诊心理健康服务，旨在使个人留在他们的社区。基于社区的精神卫生服务的可用性与精神疾病住院率较低相关。然而，需要更多的研究来建立因果关系，并确定哪些服务在减少住院护理需求方面最有效。
OBJECTIVE
This study examined the relationship between the availability of mental health outpatient services provided by 40 publicly funded community service boards (CSBs) and the use of inpatient mental health treatment among Medicaid recipients.
METHODS
Three-year data were obtained for Medicaid recipients aged 18-64 from the Medicaid claims database for the Commonwealth of Virginia. Medicaid recipients who had a mental disorder diagnosis and who had received at least one community mental health service were included in the sample. A multivariate regression model was used for the analyses.
RESULTS
Of the 11,107 individuals included, 27% had schizophrenia-related disorders and 32% had affective psychoses; 60% were white and 37% were black; and the average age was 40.1±13.1 years. In this sample, greater use of outpatient mental health services, but not greater variety of services available, was correlated with fewer inpatient hospital days for mental health treatment (-1.0±.2 days of hospitalization).
CONCLUSIONS
Virginia's CSBs provide a range of outpatient mental health services that are designed to enable individuals to remain in their community. The availability of community-based mental health services was correlated with lower rates of inpatient hospitalization for mental illness. More research, however, is needed to establish causality and to determine which services are most effective at reducing the need for inpatient care.
北卡罗来纳州门诊承诺的随机对照试验。
DOI：
10.1176/appi.ps.52.3.325
发表时间：
2001
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
--
作者：
Swartz,MS;Swanson,JW;Hiday,VA;Wagner,HR;Burns,BJ;Borum,R
通讯作者：
Borum,R
DOI：
10.1176/ajp.156.12.1968
发表时间：
1999-12
期刊：
The American journal of psychiatry
影响因子：
--
作者：
M. Swartz;J. Swanson;H. Wagner;Barbara J. Burns;V. Hiday;Randy Borum
通讯作者：
M. Swartz;J. Swanson;H. Wagner;Barbara J. Burns;V. Hiday;Randy Borum