Department of Emergency Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA.
Gen Hosp Psychiatry. 2011 Nov-Dec;33(6):631-3. doi: 10.1016/j.genhosppsych.2011.05.020. Epub 2011 Aug 27.
The objective was to describe continuity of care approaches for psychiatric emergencies in the emergency department.
A national survey of all 138 academic emergency departments in the United States was conducted.
Most emergency physicians (81%) had no systematic method for identifying psychiatric emergency patients with high recidivism. In order to promote outpatient care, sites commonly reported using intensive interventions, including scheduling outpatient appointments prior to discharge (72%) and in-house case management (64%).
While systematic identification of repeat psychiatric emergency patients was uncommon, emergency departments reported using a variety of fairly intensive strategies to promote continuity of care with outpatient mental health services.
描述急诊科精神科急症连续性护理方法。
对美国所有 138 家学术急诊科进行了一项全国性调查。
大多数急诊医生(81%)没有系统的方法来识别有高复发风险的精神科急症患者。为了促进门诊护理,各站点通常报告采用强化干预措施,包括在出院前预约门诊(72%)和院内病例管理(64%)。
尽管对重复出现的精神科急症患者进行系统识别并不常见,但急诊科报告称,他们采用了各种相当强化的策略来促进与精神科门诊服务的连续性护理。