利用行政数据定义儿童心理健康护理事件
Defining Episodes of Care in Children's Mental Health Using Administrative Data.
作者信息
Reid Graham, Stewart Shannon L, Zaric Gregory S, Carter Jeffrey R, Neufeld Richard W J, Tobon Juliana I, Barwick Melanie, Vingilis Evelyn R
机构信息
Department of Psychology, University of Western Ontario, London, ON, Canada.
Department of Family Medicine, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.
出版信息
Adm Policy Ment Health. 2015 Nov;42(6):737-47. doi: 10.1007/s10488-014-0609-6.
Criteria to define an episode of care in children's mental health services are needed. Various criteria were applied to 5 years of visit data from children 4-11 years (N = 5,206) at their first visit to 1 of 3 children's mental health agencies. A minimum of 3 visits with 180 days between episodes optimized agreement with other dates (e.g., telephone intake assessment) marking the start and end of an episode, and clinician-rated number of episodes. Grouping visits into episodes provides a clearer representation of how services are distributed over extended periods of time, facilitating research and enhancing accuracy in service planning.
需要制定儿童心理健康服务中界定一段护理期的标准。对4至11岁儿童（N = 5206）首次就诊于3家儿童心理健康机构之一的5年就诊数据应用了各种标准。每次护理期之间至少间隔180天进行3次就诊，这优化了与标记护理期开始和结束的其他日期（如电话接诊评估）以及临床医生评定的护理期数量之间的一致性。将就诊分组为护理期能更清晰地呈现服务在较长时间段内的分布情况，有助于研究并提高服务规划的准确性。
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