暴力患者管理中的法律规定与实践。一项对16个欧洲国家的病例 vignette 研究。
Legal provisions and practice in the management of violent patients. a case vignette study in 16 European countries.
作者信息
Steinert Tilman, Lepping Peter
机构信息
Centre for Psychiatry Weissenau, Ulm University, Department of Psychiatric Care Research, Weingartshofer Strasse 2, 88214 Ravensburg-Weissenau, Germany.
出版信息
Eur Psychiatry. 2009 Mar;24(2):135-41. doi: 10.1016/j.eurpsy.2008.03.002. Epub 2008 May 2.
AIM
To compare the clinical management of typical scenarios by using three case vignettes in a substantial number of European countries.
METHOD
Three case vignettes and an associated questionnaire, filled in and finalised by at least two experts from each country.
RESULTS
Legislation and clinical practice varies widely across the 16 included countries. No specific pattern emerged. Certain practices (intravenous medication, mechanical restraint, net beds and forensic transfers, respectively) only exist in few countries. Legislation for involuntary medication is most restrictive in the Netherlands.
CONCLUSIONS
There is little harmonisation and a lack of consistent standards within and across European countries regarding treatment and management of violent patients.
目的
通过在大量欧洲国家使用三个病例 vignettes 来比较典型场景的临床管理。
方法
三个病例 vignettes 和一份相关问卷，由每个国家至少两名专家填写并定稿。
结果
在纳入的 16 个国家中，立法和临床实践差异很大。没有出现特定模式。某些做法（分别为静脉用药、机械约束、网状床和法医移送）仅在少数国家存在。荷兰关于非自愿用药的立法最为严格。
结论
在欧洲国家内部和之间，关于暴力患者的治疗和管理几乎没有协调一致，也缺乏统一标准。
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