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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Patient characteristics associated with GP referral to the access to allied psychological services program: A case-control study
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Patient characteristics associated with GP referral to the access to allied psychological services program: A case-control study

机译：与GP相关联的患者特征转向盟军心理服务计划的访问：一个案例对照研究

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Background: GPs have referred patients for psychological treatment under the Better Outcomes in Mental Health Care, Access to Allied Psychological Services (ATAPS) Program since 2003. It is not known how GPs might select patients for referral. We explored which characteristics identified ATAPS patients compared to usual GP patients.Methods: The study was conducted in GP Access, a Division of General Practice (Newcastle and Lower Hunter) in NSW, Australia. It was a case-control design with 63 cases (ATAPS patients), and 64 controls (GP patients never referred to ATAPS). Unadjusted and sequentially adjusted logistic regressions were used to identify independent predictors of being an ATAPS case based on official referral guidelines: ICD-10 diagnosis of depression or anxiety and scores on the K-10 (psychological distress) and DASS-21 (psychological symptoms). A multivariable logistic regression was also used to determine the best minimum set of predictor variables.Results: Eight-three per cent of ATAPS cases had anxiety or depression. In unadjusted models, any mood disorder, OR 7.68 (95% CI: 3.47, 17.01), any anxiety disorder, OR 2.88 (95% CI: 1.37, 6.05), higher K-10 score, OR 1.06 (95% CI: 1.04, 1.14) and higher DASS-21 score, OR 1.06 (95% CI: 1.03, 1.09) were associated with being an ATAPS case. Any mood disorder, any anxiety disorder, K-10 score and DASS-21 scores remained significant in most adjusted analyses and all models showed change when adjusted for mental disability and physical disability. Three variables predicted being an ATAPS case in the multivariable regression: greater mental disability, lesser physical disability and greater number of substances misused.Conclusion: Cases had higher levels of mental disability and greater substance misuse, but lower levels of physical disability. This may reflect GP referral decision making and have implications for policy development.
机译：背景：GPS在精神保健的更好的成果，自2003年以来，在精神保健的更好的成果下提到了患者的心理治疗患者。尚不清楚GPS如何为转诊选择患者。我们探讨了与通常的GP患者相比患者鉴定的特点。方法：该研究是在澳大利亚南威尔士州纽威的一般实践（纽卡斯尔和下猎人）的GP访问中。这是一种案例控制设计，具有63例（患者）和64例（GP患者从未提及过）。未经调整的和顺序调整后的逻辑回归用于识别基于官方推荐指南的空腹案例的独立预测因素：ICD-10对K-10（心理窘迫）和DASS-21（心理症状）的抑郁或焦虑和分数的诊断。多变量的逻辑回归也用于确定最佳最小预测变量变量。结果：八分之八百分比的患者有焦虑或抑郁。在未调整的模型中，任何情绪障碍，或7.68（95％CI：3.47,17.01），任何焦虑症或2.88（95％CI：1.37,6.05），较高的K-10分数，或1.06（95％CI：1.04 ，1.14）和更高的DASS-21分数，或1.06（95％CI：1.03,1.09）与存在的情况有关。在大多数调整后的分析中，任何情绪障碍，任何焦虑症，K-10分和DASS-21分数都存在显着性，并且在调整精神残疾和身体残疾时，所有模型都显示出变化。预测三个变量是多变量的回归中的差异：更大的精神残疾，较小的身体残疾和更多物质滥用。结论：案件具有更高水平的精神残疾水平和更大的物质滥用，但身体残疾水平较低。这可能反映了GP推荐决策，并对政策制定有影响。

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