Campo J V, Kingsley R S, Bridge J, Mrazek D
University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, PA, USA.
Psychosomatics. 2000 Mar-Apr;41(2):128-33. doi: 10.1176/appi.psy.41.2.128.
This article characterizes the academic, administrative, clinical service, and fiscal characteristics of departments of psychiatry in traditional children's hospitals to determine the characteristics of fiscally successful programs. A survey of chairs of psychiatry from short-term general children's hospitals was conducted based on 38 questions addressing the descriptive characteristics of their respective departments. The characteristics of psychiatry programs identified as fiscally successful were compared to those of programs that required subsidy. Nine of 45 eligible children's hospitals (20%) did not have a department or section of psychiatry, and surveys were returned by 35 of 36 department chairs (97% response). Considerable variation exists in the academic, administrative, clinical services, and fiscal characteristics of programs, although over half are operating at a deficit. Fiscal success was associated with availability of inpatient and intermediate levels of psychiatric care, better integration of the psychiatry program within the children's hospital, and adequate fiscal information being provided to the psychiatry chair. Additional research regarding the potential of psychiatric services to generate clinical success and cost savings is warranted. Pediatric health care professionals and third-party payers should be educated regarding the relevance of psychiatric services within children's hospitals and in physically ill children.
本文描述了传统儿童医院精神科的学术、行政、临床服务和财务特征，以确定财务上成功项目的特点。基于38个涉及各自科室描述性特征的问题，对短期综合性儿童医院的精神科主任进行了一项调查。将被认定为财务上成功的精神科项目的特征与需要补贴的项目的特征进行了比较。45家符合条件的儿童医院中有9家（20%）没有精神科科室或部门，36位科室主任中有35位回复了调查（回复率97%）。各项目在学术、行政、临床服务和财务特征方面存在很大差异，尽管超过半数处于亏损运营状态。财务成功与提供住院和中级精神科护理服务、精神科项目在儿童医院内更好地整合以及向精神科主任提供充分的财务信息相关。有必要就精神科服务产生临床成功和节省成本的潜力开展更多研究。应让儿科医疗保健专业人员和第三方支付方了解儿童医院内以及身体患病儿童中精神科服务的相关性。
