An Sheng, TaoTao Yu, YanLi Yu, MengDi Zhang, Ye Zeng, Ling Ye
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Analysis of the integration of medical and nursing care and its association with depression and anxiety among medical staff in the Jinhua area.
Objective: To evaluate the relationship between implementation of the medical-nursing care integration model and the psychological health (depression and anxiety) of medical staff in the Jinhua area.
Methods: A total of 1,022 elderly patients and 182 medical staff from four institutions in Jinhua were surveyed. Patient information, service utilization, and medical costs were collected, while staff familiarity with the Patient-Driven Payment Model (PDPM) and their mental health were assessed using the PHQ-9, GAD-7, and SCL-90 scales. Statistical analyses were conducted to explore associations between PDPM familiarity and psychological outcomes.
Results: Most medical staff reported high familiarity with PDPM and successful adaptation to the integrated model. Despite this, nearly 10% of staff experienced symptoms of depression and 8% reported anxiety. Statistical analysis indicated that higher PDPM familiarity was significantly associated with lower rates of depression, anxiety, and overall psychological distress.
Conclusion: The integration of medical and nursing care in Jinhua appears to improve not only the efficiency of elderly services but also supports the mental health of medical staff. However, psychological risks remain, highlighting the need for integrated care models to embed ongoing mental health support mechanisms for healthcare professionals.
期刊介绍：
Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Field Chief Editor Stefan Borgwardt at the University of Basel is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.
The journal''s mission is to use translational approaches to improve therapeutic options for mental illness and consequently to improve patient treatment outcomes.
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