Department of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Harvard Medical School, Boston, MA, USA.
Community Ment Health J. 2021 Jul;57(5):973-978. doi: 10.1007/s10597-020-00702-8. Epub 2020 Aug 17.
The authors sought to determine whether providing a rapid-access ambulatory psychiatry encounter correlated with emergency department utilization during a 6-month follow-up period. Electronic medical records of patients who accessed ambulatory psychiatric care through an urgent care psychiatry clinic that offers treatment exclusively on a walk-in basis over a 1-year period (N = 157) were reviewed retrospectively to track emergency department encounters with and without a psychiatric chief complaint in the 6 months before and after the initial psychiatry evaluation. Among patients who had not previously received ambulatory psychiatric care (N = 88), emergency department utilization decreased from 0.68 visits per patient to 0.36, and this difference was statistically significant (p = 0.0147). No statistically significant differences were found between the average number of emergency department encounters in the 6 months before and after the rapid-access ambulatory psychiatry encounter, regardless of chief complaint, when all patients were included in the analysis. Providing a rapid-access ambulatory psychiatry encounter may reduce subsequent emergency department utilization among patients who have not previously received ambulatory psychiatric care.
作者试图确定在 6 个月的随访期间，提供快速通道门诊精神病学就诊是否与急诊科就诊相关。通过仅提供随到随诊服务的紧急护理精神病学诊所获得门诊精神病学治疗的患者的电子病历，在 1 年内（N=157）进行了回顾性审查，以跟踪在最初精神病学评估前后 6 个月内是否有和没有精神病主诉的急诊科就诊情况。在之前未接受过门诊精神病学治疗的患者中（N=88），急诊科就诊次数从每位患者 0.68 次减少到 0.36 次，差异具有统计学意义（p=0.0147）。无论是否有主要主诉，当所有患者均纳入分析时，在快速通道门诊精神病学就诊前后的 6 个月内，急诊科就诊次数的平均值之间没有发现统计学差异。对于之前未接受过门诊精神病学治疗的患者，提供快速通道门诊精神病学就诊可能会降低随后的急诊科就诊率。
