[Intended utilization of health care services in cases of mental illnesses with varying urgency].

IF 1.2 4区医学 Q4 PSYCHIATRY Psychiatrische Praxis Pub Date : 2024-05-01 Epub Date: 2024-02-15 DOI:10.1055/a-2230-3163

Sarah Koens, Jens Klein, Martin Härter, Annette Strauß, Martin Scherer, Ingo Schäfer, Olaf von dem Knesebeck

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Abstract

Objective: To investigate variations in intended utilization in cases of an acute psychotic episode, an alcohol related or depressive disorder depending on different case characteristics.

Methods: 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.

Results: 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.

Conclusion: More Information about the need to seek medical help immediately in cases of mental illnesses with high urgency should be provided.

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[在不同紧急程度的精神病患者中使用医疗服务的意向]。

目的调查急性精神病发作、酒精中毒或抑郁障碍病例中，根据不同病例特征而打算采用的治疗方法的差异：方法：通过电话对病例进行调查（样本数=1,200）。小故事在症状的紧急程度、白天、患者性别和年龄/精神障碍方面各不相同。受访者被要求指出在描述的病例中他们会首先联系谁：结果：门诊医生最常被指定为第一联系人（61.1%），而只有 6.5%的受访者指定急诊科，包括随叫随到的医疗服务（8.1%用于高度紧急的病例，即不能容忍任何延误的紧急情况）。不同紧急情况和年龄/精神疾病的受访者使用急诊的意愿也不尽相同：结论：应提供更多信息，让人们了解在精神疾病高度紧急的情况下立即寻求医疗帮助的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatrische Praxis PSYCHIATRY-

CiteScore

3.90

自引率

9.10%

发文量

103

期刊介绍： Sozialpsychiatrisch orientiert Aktuelle Originalarbeiten und fundierte Übersichten Pro-Kontra-Debatten zu Brennpunktthemen Informative Fallbeispiele Vorstellung internationaler Studien