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一项关于成瘾治疗中“文书工作负担”的全州范围评估结果。

Results of a statewide evaluation of "paperwork burden" in addiction treatment.

作者信息

Carise Deni, Love Meghan, Zur Julia, McLellan A Thomas, Kemp Jack

机构信息

Treatment Research Institute, Public Ledger Building, Philadelphia, PA 19106-3475, USA.

出版信息

J Subst Abuse Treat. 2009 Jul;37(1):101-9. doi: 10.1016/j.jsat.2008.10.009. Epub 2009 Jan 15.

DOI:10.1016/j.jsat.2008.10.009
PMID:19150201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2736054/
Abstract

This article chronicles three steps taken by research, clinical, and state staff toward assessing, evaluating, and streamlining clinical and administrative paperwork at all public outpatient addiction treatment programs in one state. The first step was an accounting of all paperwork requirements at each program. The second step included the development of time estimates for the paperwork requirements; synthesis of information across sites; providing written evaluation of the need, utility, and redundancy of all forms (paperwork) collected; and suggestions for eliminating unused or unnecessary data collection and streamlining the remaining data collection. Thirdly, the state agency hosted a meeting with the state staff, researchers, and staff from all programs and agencies with state-funded contracts and took action. Paperwork reductions over the course of a 6-month outpatient treatment episode were estimated at 4 to 6 hours, with most of the time burden being eliminated from the intake process.

摘要

本文记录了研究人员、临床工作人员和州政府工作人员为评估、评价和简化该州所有公共门诊成瘾治疗项目的临床及行政文书工作所采取的三个步骤。第一步是统计每个项目的所有文书工作要求。第二步包括为文书工作要求制定时间估算;综合各机构的信息;对所收集的所有表格(文书工作)的必要性、实用性和冗余性进行书面评估;以及提出消除未使用或不必要数据收集并简化其余数据收集的建议。第三步,州机构与州政府工作人员、研究人员以及所有由州政府资助合同的项目和机构的工作人员召开了一次会议并采取了行动。据估计,在为期6个月的门诊治疗期间,文书工作减少了4至6小时,大部分时间负担从入院流程中消除。

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本文引用的文献

1
Improving public addiction treatment through performance contracting: the Delaware experiment.通过绩效合同改善公共成瘾治疗:特拉华实验
Health Policy. 2008 Sep;87(3):296-308. doi: 10.1016/j.healthpol.2008.01.010. Epub 2008 Mar 5.
2
Retaining the mental health nursing workforce: early indicators of retention and attrition.留住精神卫生护理人员:留用和流失的早期指标
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Addiction. 2005 Apr;100(4):447-58. doi: 10.1111/j.1360-0443.2005.01012.x.
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Am J Psychiatry. 1971 Jun;127(12):1653-8. doi: 10.1176/ajp.127.12.1653.
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