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使用艾伯塔省服务连续性观察者评定量表来衡量精神科人群的护理连续性。

Using the Alberta Continuity of Services Observer-Rated Scale to Measure Continuity of Care in a Psychiatric Population.

作者信息

Vandyk Amanda Digel, VanDenkerkhof Elizabeth G, Graham Ian D, Harrison Margaret B

机构信息

University of Ottawa, Canada.

出版信息

J Nurs Meas. 2016;24(1):131-46. doi: 10.1891/1061-3749.24.1.131.

Abstract

BACKGROUND AND PURPOSE

Continuity of care (CoC) is an important component in the delivery of quality mental health care. Yet, its measurement is inconsistent. We explored the use of the Alberta Continuity of Services Scale for Mental Health (ACSS-MH) observer-rated scale and compared CoC scores in 2 groups (N = 140) of individuals with mental health complaints (5+ and 1 emergency department [ED] visits/year).

METHODS

Secondary analysis of health record data.

RESULTS

The application of the ACSS-MH observer-rated scale in our population is discussed, as well as differences in CoC scores by group.

CONCLUSIONS

The ACSS-MH observer-rated scale may be useful for obtaining CoC scores in several mental health populations. Minor modifications (e.g., to response options) are suggested that may improve scoring accuracy. Research is needed to further explore the relationship between CoC and ED use.

摘要

背景与目的

连续性照护(CoC)是提供优质精神卫生保健服务的重要组成部分。然而,其测量方法并不一致。我们探讨了使用阿尔伯塔精神卫生服务连续性量表(ACSS-MH)进行观察者评分,并比较了两组(N = 140)有精神卫生问题(每年就诊5次及以上且有1次急诊科就诊)个体的连续性照护得分。

方法

对健康记录数据进行二次分析。

结果

讨论了ACSS-MH观察者评分量表在我们研究人群中的应用,以及两组之间连续性照护得分的差异。

结论

ACSS-MH观察者评分量表可能有助于获取多个精神卫生人群的连续性照护得分。建议进行一些小的修改(如对回答选项),这可能会提高评分准确性。需要开展研究以进一步探讨连续性照护与急诊科就诊之间的关系。

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