Center for Health Services Research on Pharmacotherapy, Chronic Disease Management, and Outcomes, Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ, USA.
Curr Opin Psychiatry. 2012 Nov;25(6):551-8. doi: 10.1097/YCO.0b013e328358df75.
Addressing issues in transitioning patients from inpatient to outpatient care is one of the most salient themes in mental healthcare. We review current models and initiatives in general and mental healthcare and propose an intervention framework.
Using search terms in online databases and archives, we identified two broad categories of care transition interventions: models that have been put forward and tested in the area of general medical care and have potential for adaptation in mental health; and a more limited set of models that have been put forward and, to some extent, tested in the mental health context. On the basis of these categorical summaries, we propose nine components as core elements for interventions to address transitions in the mental health population more effectively.
This review of intervention models identified multiple models, trials and initiatives for care transition interventions for general medical populations, but few targeted specifically for mental health populations. We believe that proposing a conceptual framework specifying a core set of care transition intervention components can stimulate the development of interventions that specifically address patients with serious mental illness.
解决患者从住院到门诊护理过渡过程中的问题是精神卫生保健中最突出的主题之一。我们综述了一般和精神卫生保健领域中当前的模式和举措，并提出了一个干预框架。
我们使用在线数据库和档案中的搜索词，确定了两类护理过渡干预措施：已在一般医疗保健领域提出并经过测试、有可能适用于精神卫生领域的模式；以及在精神卫生领域提出并在一定程度上经过测试的更为有限的模式集。在此基础上，我们提出了九个组件作为核心要素，以更有效地干预精神卫生人群的过渡。
对干预模式的综述确定了多个针对一般医疗人群的护理过渡干预措施的模式、试验和举措，但针对精神卫生人群的措施很少。我们认为，提出一个具体规定核心护理过渡干预组件集的概念框架，可以促进专门针对严重精神疾病患者的干预措施的发展。
