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首页> 外文期刊>Administration and Policy in Mental Health and Mental Health Services Research >Travel Distance and the Use of Inpatient Care among Patients with Schizophrenia
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Travel Distance and the Use of Inpatient Care among Patients with Schizophrenia

机译：精神分裂症患者的行进距离和住院护理的使用

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摘要

This study examines the variations in the use of inpatient care that can be explained by travel distance among patients with schizophrenia living in Taiwan. Data were drawn from the Psychiatric Inpatient Medical Claims Database. We used mediation analysis and multilevel analysis to identify associations. Travel distance did not significantly account for lower readmission rates after an index admission, but significantly explained the longer length of stay of an index admission by 9.3 days (P < 0.001, 85% of variation) between remote and non-remote regions. Policies are discussed aimed at reducing the impact of travel distance on rural mental health care through inter-disciplinary collaboration and telepsychiatry.
机译：这项研究探讨了住院护理使用的差异，这可以通过居住在台湾的精神分裂症患者之间的旅行距离来解释。数据来自精神科住院医疗索赔数据库。我们使用中介分析和多层次分析来识别关联。行进距离并没有显着说明接受索引后的再入院率较低，但可以很好地解释了偏远地区和非偏远地区在9.3天之内住院时间更长（P <0.001，变化的85％）。讨论了旨在通过跨学科合作和远程精神病减少旅行距离对农村精神卫生保健的影响的政策。

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  • 作者

    Kuan-Chiao Tseng; David Hemenway; Ichiro Kawachi; S. V. Subramanian; Wei J. Chen;

  • 作者单位

    Department of Psychiatry National Taiwan University Hospital No. 7 Chung-san S. Rd Taipei 100 Taiwan ROC;

    Department of Health Policy and Management Harvard School of Public Health 677 Huntington Avenue Kresge Building Room 309 Boston MA 02115 USA;

    Department of Society Human Development and Health Harvard School of Public Health 677 Huntington Avenue Kresge Building 7th Floor Boston MA 02115 USA;

    Department of Society Human Development and Health Harvard School of Public Health 677 Huntington Avenue Kresge Building 7th Floor Boston MA 02115 USA;

    Institute of Epidemiology College of Public Health National Taiwan University Room 123 No.17 XuZhou Road Taipei City 100 Taiwan ROC;

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  • 正文语种 eng
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  • 关键词

    Schizophrenia; Travel distance; Remote; Length of stay; Readmission;

    机译：精神分裂症;行进距离;远程;停留时间;再入院;

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