Woodhouse Anne E
Clinical Psychology Service for Children and Young People, NHS Highland, The Alligin Centre, Larch House, Stoneyfield, Inverness IV2 7PA, Scotland. E-mail:
Child Adolesc Ment Health. 2006 May;11(2):94-97. doi: 10.1111/j.1475-3588.2005.00372.x.
The Highland Clinical Psychology Service for Children and Young People, faced with excessive waiting lists, a large geographical remit, and only three psychologists, sought to change waiting list management to improve services.
An opt-in appointment system and outcome research were used to inform waiting list management. Referrals with the characteristics of cases where psychological interventions are helpful were prioritised over cases that had characteristics of poor outcomes.
Attendance at first appointments was significantly increased and waiting times were significantly reduced.
The success of the opt-in system replicated research in other CAMHS. It is also hypothesised that the new waiting list prioritisation criteria had an effect, although this needs further research. Issues associated with the change in waiting list prioritisation are discussed and it is suggested that prioritising treatable cases over complex cases is an appropriate, effective and ethical use of scarce resources.
高地儿童和青少年临床心理服务机构面临着过长的等候名单、广阔的地理服务范围以及仅有三名心理学家的情况，因此寻求改变等候名单管理方式以改善服务。
采用选择加入预约系统和结果研究来为等候名单管理提供依据。对于具有心理干预可能产生有益效果特征的转诊病例，优先于那些具有不良结果特征的病例。
首次预约的就诊率显著提高，等候时间显著缩短。
选择加入系统的成功复制了其他儿童与青少年心理健康服务机构的研究成果。还有假设认为新的等候名单优先排序标准起到了作用，尽管这需要进一步研究。文中讨论了与等候名单优先排序变化相关的问题，并提出将可治疗病例优先于复杂病例是对稀缺资源的一种适当、有效且符合伦理的利用方式。
