为有精神健康问题的患者提供有效和有针对性的服务需要医疗保健提供者内部的有效合作和协调。但是使用传统方法衡量合作是具有挑战性的。
■探索照顾不同精神或物质使用障碍患者群体的专业人员的患者共享网络。
■我们使用的数据涵盖了2021年芬兰7个城市的初级保健服务提供者的成年患者。数据包括8,217名患有精神或物质使用障碍的患者(147,430次就诊),由1,566名医疗保健专业人员进行治疗。我们计算了描述性网络指标,以检查三个不同患者组中专业人员的连通性(患有物质使用障碍的患者,精神病,和抑郁症),并将这些特征与基于所有患者的网络进行比较。我们还分析了患者共享是否与医疗保健专业人员的属性(职业组,自治市)使用指数随机图模型(ERGM)。
■与所有患者网络相比,诊断特异性网络更密集,连接更紧密。护士是所有诊断特定网络中最重要的职业,尤其是在物质使用障碍患者网络中。在检查所有患者时,当两名专业人员属于同一职业组时,他们更有可能分享患者。然而,在抑郁症患者的网络中,我们发现相反的情况:如果他们属于不同的职业群体,专业人士更有可能分享患者。
■患有特定精神或物质使用障碍的患者内部的患者共享网络比基于所有精神或物质使用障碍的患者的网络更密集,连接更紧密。特别是在物质使用障碍患者网络中,护士是最核心的职业。与所有患者网络相比,抑郁症网络中的多专业联系更有可能。
UNASSIGNED: Providing efficient and targeted services for patients with mental health problems requires efficient collaboration and coordination within healthcare providers, but measuring collaboration using traditional methods is challenging.
UNASSIGNED: To explore the patient-sharing networks of professionals taking care of different groups of patients with mental or substance use disorders.
UNASSIGNED: We used data that covered adult patients\' visits to the primary care service providers of seven municipalities in Finland during year 2021. Data included 8,217 patients (147,430 visits) with mental or substance use disorders who were treated by 1,566 health care professionals. We calculated descriptive network metrics to examine the connectivity of professionals in three different patient groups (patients with substance use disorders, psychotic disorders, and depressive disorders) and compared these characteristics to a network based on all patients. We also analyzed whether patient sharing was associated with the health care professionals\' attributes (occupational group, municipality) using Exponential Random Graph Models (ERGM).
UNASSIGNED: Diagnosis-specific networks were denser and more connected compared to the all-patients network. Nurses were the most central occupation in all the diagnosis-specific networks and especially in the substance use disorder patients network. When examining all patients, two professionals were more likely to share patients when they belonged to the same occupational group. However, in the network with depressive disorder patients we found the opposite: professionals were more likely to share patients if they were of different occupational groups.
UNASSIGNED: Patient-sharing networks within patients with a specific mental or substance use disorders are denser and more connected than networks based on all patients with mental or substance use disorders. In the substance use disorder patients network particularly, nurses were the most central occupation. Multi-professional connections were more likely in depressive disorder networks than in the all-patients network.