Department of Psychology, Section of Family Therapy, Institute of Psychiatry, King's College London, London, United Kingdom.
Int J Eat Disord. 2012 Dec;45(8):949-56. doi: 10.1002/eat.22065. Epub 2012 Oct 4.
To explore the role of specialist outpatient eating disorders services and investigate how direct access to these affects rates of referral, admissions for inpatient treatment, and continuity of care.
Services beyond primary care in Greater London retrospectively identified adolescents who presented with an eating disorder over a 2-year period. Data concerning service use were collected from clinical casenotes.
In areas where specialist outpatient services were available, 2-3 times more cases were identified than in areas without such services. Where initial outpatient treatment was in specialist rather than nonspecialist services, there was a significantly lower rate of admission for inpatient treatment and considerably higher consistency of care.
Developing specialist outpatient services with direct access from primary care is likely to lead to improvements in treatment and reduce overall costs.
探讨专科门诊饮食失调服务的作用，并研究直接获得这些服务对转介率、住院治疗入院率和护理连续性的影响。
在大伦敦地区，除初级保健以外的服务回顾性地确定了在两年期间出现饮食失调的青少年。从临床病例记录中收集有关服务使用的数据。
在有专科门诊服务的地区，发现的病例是没有此类服务地区的 2-3 倍。在初始门诊治疗在专科而非非专科服务中进行的情况下，住院治疗的入院率显著降低，护理的一致性也大大提高。
从初级保健机构发展专科门诊服务并直接提供服务，可能会改善治疗效果并降低总体成本。
