Olfson M
Psychiatr Q. 1988 Fall;59(3):225-34. doi: 10.1007/BF01064245.
Emergency room records of professionally referred and nonprofessionally referred patients are reviewed. Professionally referred patients were significantly more likely to be admitted than non professionally referred patients. Female, white, and employed patients were all overrepresented among the professionally referred. Suicidality, homicidality, and depression were also more common in this group. After accounting for the clinical and demographic differences, referral source did not significantly modify the disposition from the emergency room. Among schizophrenic patients, however, professional referral independently improved the likelihood of admission. These results are discussed in terms of social factors which may influence emergency room decision making.
对专业转诊和非专业转诊患者的急诊室记录进行了审查。专业转诊患者比非专业转诊患者更有可能被收治。在专业转诊患者中，女性、白人及就业患者的比例都过高。自杀倾向、杀人倾向和抑郁在这组患者中也更常见。在考虑了临床和人口统计学差异后，转诊来源并未显著改变急诊室的处理方式。然而，在精神分裂症患者中，专业转诊独立地提高了收治的可能性。根据可能影响急诊室决策的社会因素对这些结果进行了讨论。
