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英国国家医疗服务体系(NHS)绩效指标与自杀率之间的关系。

The relationship between NHS performance indicators and suicide rates.

作者信息

Zhinchin Galina, Shah Ajit

机构信息

West London Mental Health Trust, London, UK.

出版信息

Med Sci Law. 2013 Oct;53(4):223-6. doi: 10.1177/0025802413487903. Epub 2013 Aug 14.

DOI:10.1177/0025802413487903
PMID:23945260
Abstract

AIMS AND METHOD

As mental health services have an important role in prevention of suicides, the relationship between Care Quality Commission performance ratings of mental health trusts and the local suicide rates were examined with the null hypothesis that there will be no relationship between them. Data on suicide rates for men and women aged 16-65 for each district covered by a mental health trust were ascertained from the Office of National Statistics for the year 2009. Data on performance ratings of mental health trusts for the same year were obtained from the Care Quality Commission Report.

RESULTS

There was no significant relationship between suicide rates in the districts covered by 60 mental health trusts in England and Wales and their performance ratings.

CLINICAL IMPLICATIONS

The negative findings suggest that the performance rating of mental health trusts do not influence local suicide rates.

摘要

目的与方法

由于心理健康服务在预防自杀方面具有重要作用,因此对心理健康信托机构的护理质量委员会绩效评级与当地自杀率之间的关系进行了研究,原假设为两者之间不存在关联。从英国国家统计局获取了2009年各心理健康信托机构所覆盖地区16至65岁男性和女性的自杀率数据。同年心理健康信托机构的绩效评级数据则取自护理质量委员会报告。

结果

在英格兰和威尔士的60个心理健康信托机构所覆盖的地区,自杀率与它们的绩效评级之间没有显著关系。

临床意义

这些负面研究结果表明,心理健康信托机构的绩效评级不会影响当地的自杀率。

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