综合初级保健和传统门诊服务中儿童精神健康治疗的可及性和保留率。

IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Journal of Pediatric Psychology Pub Date : 2024-09-10 DOI:10.1093/jpepsy/jsae057
Hannah L Joseph,Li Fang Zhang,Candace Best,Christina Bancroft,Madison James,Shreeti Kapoor,Christopher F Drescher,Catherine L Davis
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引用次数: 0

摘要

简介:在儿童心理健康治疗的可及性和治疗的持续性方面,存在着种族、民族、社会经济地位(SES)和保险范围等方面的差异。本研究比较了精神科门诊(OPC)和综合初级护理(IPC)诊所的治疗就诊率,以评估综合初级护理是否与减少治疗就诊率和治疗保留率方面的差异有关。结果显示,就社会经济地位、种族和民族而言,IPC 诊所比 OPC 诊所服务的患者更加多样化。此外,IPC 和 OPC 的就诊率也存在差异。在控制了种族、民族、保险以及患者家庭邮编到诊所的距离后,IPC 治疗环境与较差的入院和复诊就诊率相关。本研究的复制有可能有助于提高研究结果的外部有效性、改进质量保证政策和制定公平的工作流程政策。未来的研究需要确定哪些因素可以提高面临更大治疗保留障碍的人群的治疗出席率,并揭示医疗保健系统可能在无意中维持治疗保留率差异的方式。
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Child mental health treatment access and retention in integrated primary care and traditional outpatient services.
INTRODUCTION There are disparities in child mental health treatment access and treatment retention in terms of race and ethnicity, socioeconomic status (SES), and insurance coverage. Institutions have invested in the integrated primary care (IPC) treatment model with the goal of improving treatment access and promoting child mental health equity. OBJECTIVE This study compared treatment attendance in an outpatient psychiatry clinic (OPC) versus an IPC clinic to assess whether the IPC was associated with reduced disparities in access to care and treatment retention. METHODS This study assessed whether there were differences in who is connected to care from the intake appointment to first follow-up appointment. RESULTS Results showed that the IPC clinic served a more diverse patient population than the OPC clinic in terms of SES, race, and ethnicity. Differences in treatment attendance in the IPC and OPC were also found. After controlling for race, ethnicity, insurance, and distance from patient's home zip code to clinic, the IPC treatment setting was associated with poorer intake and follow-up appointment attendance. CONCLUSIONS The IPC model may be more accessible to historically underserved youth, but the treatment setting does not inherently eliminate disparities in child mental health treatment retention. Replication of this study has the potential to contribute to the external validity of study findings, improve quality assurance policies, and develop equitable workflow policies. Future research is needed to identify factors that can improve treatment attendance for populations who face greater retention barriers and to shine light on ways that healthcare systems may inadvertently maintain disparity in treatment retention.
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来源期刊
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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