Harris M, Bergman H C
Department of Psychology, George Washington University, Washington, D.C.
Hosp Community Psychiatry. 1988 Dec;39(12):1276-80. doi: 10.1176/ps.39.12.1276.
Records of service contacts made over a six-month period by 44 chronic mentally ill patients served by a private case management agency in Washington, D.C., were analyzed to assess the accuracy of common assumptions held by mental health professionals about appropriate staff-to-patient ratios, the relationship between age and chronicity and use of services, the intensity of service use over time, and similar beliefs. The results suggest that the optimum staff-to-patient ratio is about 1 to 15, that older patients require fewer service contacts than younger patients, that patients' chronicity is not related to their extent of service use, and that patients' frequency of service use does not change over time. Patients who received services at the agency and patients who were seen alone required more service contacts than patients who were seen in the community and patients who were accompanied at their service contacts by members of their support network.
对华盛顿特区一家私人病例管理机构服务的44名慢性精神病患者在六个月期间的服务接触记录进行了分析，以评估心理健康专业人员关于适当的工作人员与患者比例、年龄与慢性病及服务使用之间的关系、随着时间推移服务使用强度以及类似信念等常见假设的准确性。结果表明，最佳工作人员与患者比例约为1比15，老年患者比年轻患者需要的服务接触更少，患者的慢性病与他们的服务使用程度无关，并且患者的服务使用频率不会随时间变化。在该机构接受服务的患者以及独自就诊的患者比在社区就诊的患者以及在服务接触时有支持网络成员陪同的患者需要更多的服务接触。
