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首页> 外文期刊>Academic Medicine: Journal of the Association of American Medical Colleges >Prevalence of bipolar disorder and schizophrenia in houston outreach medicine, education, and social services (HOMES) clinic patients: Implications for student-managed clinics for underserved populations
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Prevalence of bipolar disorder and schizophrenia in houston outreach medicine, education, and social services (HOMES) clinic patients: Implications for student-managed clinics for underserved populations

机译：休斯顿外展医学，教育和社会服务（家庭）诊所患者双相情感障碍和精神分裂症患病率：对欠缺群体的学生管理诊所的影响

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Purpose: Psychiatric conditions require aggressive management that is challenging to provide in free clinics. The purpose of this study was to determine the prevalence of certain mental illnesses and comorbid conditions among the patients of a student-managed free clinic for the homeless. Method: The authors conducted a retrospective analysis of the records of patients who visited the student-run Houston Outreach Medicine, Education, and Social Services (HOMES) Clinic from May 2007 through May 2008. They assessed the prevalence of bipolar disorder and schizophrenia among patients. They compared demographics, health insurance status, comorbid medical conditions, and social habit data of patients with these mental illnesses with those of other clinic patients. Results: Of 286 patients (74.5% male, mean age 45.8 years), 25 (8.7%) had a diagnosis of schizophrenia and 45 (15.7%) had bipolar disorder. Compared with other clinic patients, patients with bipolar disorder or schizophrenia were less likely to be male (P < .0001) and were more likely to have publicly funded insurance (P = .024). They were also more likely to have certain comorbid conditions, including asthma (P = .0004), seizures (P = .0007), kidney disease (P = .01), and heart disease (P = .02). Conclusions: The high prevalence of these mental illnesses combined with the increased burden of medical comorbidity among HOMES Clinic patients has implications for student-managed free clinics, which often operate on limited budgets. Strategies for providing care for these patients in this setting include integrated care, street medicine, and case management.
机译：用途：精神病学的情况需要积极的管理是具有挑战性的免费诊疗提供。这项研究的目的是确定某些精神疾病和间为无家可归者的学生管理义诊的患者合并症的发生率。方法：作者进行的谁访问了学生跑休斯敦推广医疗，教育和社会服务的患者记录的回顾性分析（院）门诊从2007年5月至2008年5月他们评估的患者中双相情感障碍和精神分裂症的患病率。他们比较了人口统计，健康保险状况，合并症的医疗条件和患者与其他患者的诊疗这些精神疾病的社会习惯的数据。结果：286名患者（74.5％为男性，平均年龄45.8年），25（8.7％）有精神分裂症和45（15.7％）的诊断有躁郁症。与其他门诊的患者相比，双相障碍患者或精神分裂症不太可能是男性（P <0.0001），并更可能有公费保险（P = 0.024）。他们也更可能有一定的合并症，包括哮喘（P = 0.0004），癫痫发作（P = 0.0007），肾脏疾病（P = 0.01），和心脏疾病（P = 0.02）。结论：这些精神疾病的医疗合并症的HOMES诊所患者的负担增加组合的高患病率对学生管理义诊，这往往在预算有限的操作意义。对于这些患者在此设置提供护理的策略包括综合服务，街道药，和案件管理。

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    WelshK.J.; PatelC.B.; FernandoR.C.; TorresJ.D.; MedrekS.K.; SchnappW.B.; BrownC.A.; BuckD.S.;

  • 作者单位

    Department of Psychiatry and Behavioral Sciences University of Texas Medical School at Houston;

    Department of Psychiatry and Behavioral Sciences University of Texas Medical School at Houston;

    Cecil County Health Department Elkton MD United States;

    Center for Health Promotion and Prevention Research University of Texas School of Public Health;

    Internal Medicine Baylor College of Medicine Houston TX United States;

    Department of Psychiatry and Behavioral Sciences University of Texas Medical School at Houston;

    Healthcare for the Homeless-Houston Houston TX United States;

    Department of Family and Community Medicine Baylor College of Medicine 3701 Kirby Dr. Houston;

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  • 正文语种 eng
  • 中图分类 医药、卫生;
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