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提高住院精神科机构中主治医师对住院医师轮转评估的回报率。

Increasing the rate of return of resident rotation evaluations by their attending physicians in an in-patient psychiatric facility.

作者信息

Shah Nurun, Thompson Britta, Averill Patricia, Searle Nancy

机构信息

University of Texas Harris County Psychiatric Center-Psychiatry, 2800 South MacGregor Way, Houston, Texas 77021, USA.

出版信息

Acad Psychiatry. 2007 Nov-Dec;31(6):439-42. doi: 10.1176/appi.ap.31.6.439.

Abstract

OBJECTIVE

Psychiatrist's evaluations of residents are the primary means of determining whether the residents are ready to be promoted. However, the return rate for evaluations is quite low. The purpose of this study was to increase the return rates.

METHODS

Feedback from two surveys and open discussion was utilized to develop and implement a system for increasing completion rates. Completion rates before and after the intervention were compared.

RESULTS

The survey revealed that the initial evaluation form was too complex and not readily available. In addition, participants indicated that reminders would be helpful for increasing compliance. Completion rates were 48% and 80% for the 4 months prior and after the intervention, respectively.

CONCLUSION

Addressing the problem and implementing suggested strategies increased completion rates significantly. However, it is unclear which strategy was most associated with the change. Future directions will focus on determining whether gains will be maintained and what would be necessary to obtain 100% compliance rates.

摘要

目的

精神科医生对住院医师的评估是确定住院医师是否具备晋升条件的主要手段。然而,评估的回收率相当低。本研究的目的是提高回收率。

方法

利用两项调查的反馈和公开讨论来开发和实施一个提高完成率的系统。比较干预前后的完成率。

结果

调查显示,最初的评估表过于复杂且不易获取。此外,参与者表示提醒有助于提高依从性。干预前4个月和干预后4个月的完成率分别为48%和80%。

结论

解决问题并实施建议的策略显著提高了完成率。然而,尚不清楚哪种策略与这一变化最相关。未来的方向将集中于确定这些成果是否能够维持,以及要达到100%的依从率需要采取什么措施。

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