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1986年美国心理健康组织的精神科门诊护理服务

Psychiatric outpatient care services in mental health organizations, United States, 1986.

作者信息

Sunshine J H, Witkin M J, Atay J E, Manderscheid R W

机构信息

National Institute of Mental Health.

出版信息

Ment Health Stat Note. 1991 Jan(194):1-4. doi: 10.1037/e476472004-001.

DOI:10.1037/e476472004-001
PMID:2046554
Abstract

In 1986, 2,967 mental health organizations, or 62 percent of all mental health organizations in the United States (including territories), offered psychiatric outpatient care services. A total of 5.6 million patient care episodes were provided by these organized outpatient services. These episodes involved a total of 47 million visits and 2.8 million additions, and represented 69 percent of all psychiatric patient care episodes in organized settings that year. Both the number of organizations with psychiatric outpatient care services and the number of outpatient additions to these organizations increased by approximately 4 percent between 1983-84 and 1986. Multiservice mental health organizations were the most prominent type of mental health organization in the provision of psychiatric outpatient care. They comprised 42 percent of the 2,967 organizations offering this type of care and were responsible for 54 percent of the outpatient additions, 53 percent of the episodes, and 54 percent of the visits. Next in importance were freestanding psychiatric outpatient clinics and separate psychiatric services in non-Federal general hospitals. They accounted for 26 percent and 17 percent, respectively, of organizations providing psychiatric outpatient care. Each provided 12 to 18 percent of outpatient additions, episodes, and visits. Over 90 percent of multiservice mental health organizations and Veterans Administration psychiatric organizations offered outpatient psychiatric care. In contrast, this form of care was offered by only 29 percent of State and county mental hospitals, 36 percent of private psychiatric hospitals, 37 percent of nonFederal general hospitals with psychiatric services, and 23 percent of residential treatment centers for emotionally disturbed children.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

1986年,2967家心理健康机构,即美国(包括各属地)所有心理健康机构的62%,提供了精神科门诊护理服务。这些有组织的门诊服务共提供了560万次患者护理事件。这些事件总共涉及4700万次就诊和280万新增病例,占当年有组织环境中所有精神科患者护理事件的69%。在1983 - 1984年至1986年期间,提供精神科门诊护理服务的机构数量以及这些机构的门诊新增病例数量均增加了约4%。多服务心理健康机构是提供精神科门诊护理方面最突出的心理健康机构类型。它们占提供此类护理的2967家机构的42%,负责54%的门诊新增病例、53%的护理事件和54%的就诊。其次重要的是独立的精神科门诊诊所和非联邦综合医院中的独立精神科服务。它们分别占提供精神科门诊护理机构的26%和17%。各自提供了12%至18%的门诊新增病例、护理事件和就诊。超过90%的多服务心理健康机构和退伍军人管理局精神科机构提供门诊精神科护理。相比之下,只有29%的州立和县立精神病医院、36%的私立精神病医院、37%设有精神科服务的非联邦综合医院以及23%的情绪困扰儿童住院治疗中心提供这种护理形式。(摘要截取自250字)

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