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首页> 外文期刊>Administration and Policy in Mental Health and Mental Health Services Research >Residential Mobility Among Patients in the VA Health System: Associations with Psychiatric Morbidity, Geographic Accessibility, and Continuity of Care
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Residential Mobility Among Patients in the VA Health System: Associations with Psychiatric Morbidity, Geographic Accessibility, and Continuity of Care

机译：VA卫生系统中患者的居间流动性：与精神病发病率，地理可及性和护理连续性的关联

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摘要

This paper reports on residential mobility among patients treated in the Veterans Affairs (VA) health system. We examine mobility in relation to patients’ psychiatric disorders, and we assess the impact of mobility on health system geographic accessibility and continuity of care following inpatient discharge. Subjects included 534,002 patients with schizophrenia, bipolar disorder, depression, or with none of these conditions, who received VA services in both FY01 and FY02. We report the frequency and predictors of residential moves; we examine distance moved and changes in the proximity of VA providers; and we evaluate associations with timely receipt of outpatient care following inpatient discharges. Approximately 25% of patients with bipolar disorder, 20% with schizophrenia, 16% with depression, and 9% of patients without these conditions completed a residential move in FY2002. When relocating, patients with schizophrenia and bipolar disorder were more likely to move closer to providers, suggesting greater sensitivity to accessibility barriers.
机译：本文报道了在退伍军人事务（VA）卫生系统中接受治疗的患者中的居民流动性。我们研究了与患者精神疾病有关的流动性，并评估了流动性对住院病人出院后卫生系统地理可及性和护理连续性的影响。受试者包括534,002例精神分裂症，躁郁症，抑郁症或无这些疾病的患者，这些患者在01财年和02财年都接受了VA服务。我们报告居民搬迁的频率和预测因素；我们研究了移动虚拟设备提供商附近的移动距离和变化；我们会评估出院后及时获得门诊护理的关联性。在2002财政年度，大约25％的躁郁症患者，20％的精神分裂症患者，16％的抑郁症患者和9％的没有这些疾病的患者完成了住所搬迁。搬迁时，精神分裂症和躁郁症患者更可能靠近提供者，这表明他们对可达性障碍的敏感性更高。

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