Wharne Simon
Hanover House, St Leonards-on-Sea, East Sussex, UK.
J Interprof Care. 2005 Aug;19(4):326-37. doi: 10.1080/13561820500138651.
This critical evaluation considers research literature on Assertive Outreach Teams (AOTs). The extensive examination of this multi-professional service configuration is contrasted with the under-defined and untested nature of the service interventions that are provided by these teams. An audit of crisis management work in an AOT is reported and twelve areas of "life difficulties" are identified. An attempt to measure these life difficulties is then described. The use of this measurement for prioritizing referrals, managing workloads, agreeing care plans and measuring outcomes is discussed. Finally, the inadequacy of existing research approaches and associated problems in the separation of management and clinical practices are considered.
本批判性评估考量了关于主动外展团队（AOTs）的研究文献。对这种多专业服务配置的广泛审视，与这些团队所提供的服务干预措施定义不明确且未经检验的性质形成了对比。报告了对一个主动外展团队危机管理工作的审计情况，并确定了十二个“生活困难”领域。接着描述了尝试对这些生活困难进行衡量的情况。讨论了将这种衡量用于确定转诊优先级、管理工作量、商定护理计划及衡量结果的用途。最后，考虑了现有研究方法的不足之处以及管理与临床实践分离方面的相关问题。
