Woolston J L, Riddle M A
Children's Psychiatric Inpatient Service, Yale University School of Medicine, New Haven, CT 06510.
J Am Acad Child Adolesc Psychiatry. 1990 Nov;29(6):905-8. doi: 10.1097/00004583-199011000-00011.
New technology has played a catalytic role in advancing understanding of etiology, diagnosis, and treatment in virtually all fields of medicine. Child psychiatry, a relatively new medical specialty, has begun to employ such advanced technology in diagnosis and treatment monitoring. This current study demonstrates that, in an inpatient child psychiatric setting, such advanced technology has a positive diagnostic yield of 5% for new medical diagnoses and a cost of about 0.5% of the hospital bed cost. Other tests, such as psychotropic blood level monitoring and psychometric evaluation of cognitive functioning, have a much higher yield.
新技术在推进医学几乎所有领域对病因、诊断和治疗的理解方面发挥了催化作用。儿童精神病学作为一个相对较新的医学专业,已开始在诊断和治疗监测中采用此类先进技术。当前这项研究表明,在住院儿童精神病治疗环境中,此类先进技术对新的医学诊断具有5%的阳性诊断率,成本约为医院床位成本的0.5%。其他检测,如精神药物血药浓度监测和认知功能的心理测量评估,具有更高的诊断率。