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心理健康治疗延误如何影响长期死亡率?

How Do Mental Health Treatment Delays Impact Long-Term Mortality?
American Economic Review · 2025 · Sydney Costantini

中文摘要

随着心理健康危机日益加剧以及行为健康专科医生短缺,寻求心理健康治疗的人往往需要长时间等待才能获得照护。本文研究诊所拥堵如何影响经历心理健康紧急状况的退伍军人的死亡率。研究发现,等待时间越长,患者错过后续心理健康就诊的可能性越高,进而增加其永久脱离照护的概率。急诊科就诊与后续预约日期之间的等待时间每增加1个标准差(11.7天),两年期死亡率就会提高约1.5%。 (JEL H51、I12、I13、I18)

Abstract

With a growing mental health crisis and a shortage of behavioral health specialists, those seeking mental health treatment often face long wait times to obtain care. I study how clinic congestion affects mortality for veterans experiencing mental health emergencies. I find that longer waiting times make it more likely that patients miss their follow-up mental health visit, consequently increasing the probability that they permanently disengage from care. A 1 standard deviation increase in wait time between the emergency department visit and follow-up appointment date (11.7 days) increases two-year mortality by about 1.5 percent. (JEL H51, I12, I13, I18)
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