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急诊室中的精神科决策:研究综述

Psychiatric decision making in the emergency room: a research overview.

作者信息

Marson D C, McGovern M P, Pomp H C

机构信息

Division of Psychology, Northwestern University Medical School, Chicago, IL.

出版信息

Am J Psychiatry. 1988 Aug;145(8):918-25. doi: 10.1176/ajp.145.8.918.

DOI:10.1176/ajp.145.8.918
PMID:3293473
Abstract

In an overview of the research on psychiatric decision making in the emergency room, the authors discuss studies done between 1963 and 1977, which suffered from an overreliance on univariate statistical techniques, problems with the reliability and validity of the instruments used for data collection, and the lack of alternatives to hospitalization for emergency room patients. More recent studies of emergency room decision making are then reviewed, with particular attention to those that had multivariate statistical designs. The article concludes with a synthesis of the research findings to date and recommends multivariate approaches and choices of variables for future studies.

摘要

在一篇关于急诊室精神科决策研究的综述中,作者讨论了1963年至1977年间进行的研究,这些研究存在过度依赖单变量统计技术、数据收集所用工具的可靠性和有效性问题,以及急诊室患者除住院外缺乏其他选择的问题。接着回顾了最近关于急诊室决策的研究,特别关注那些采用多变量统计设计的研究。文章最后综合了迄今为止的研究结果,并为未来研究推荐了多变量方法和变量选择。

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1
Psychiatric decision making in the emergency room: a research overview.急诊室中的精神科决策:研究综述
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Clinical and sociodemographic predictors of inpatient admission after presentation in a psychiatric emergency room: an observational study.精神科急诊就诊后住院的临床及社会人口学预测因素:一项观察性研究
Int J Ment Health Syst. 2023 Dec 5;17(1):44. doi: 10.1186/s13033-023-00618-2.
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Variation in admission rates between psychiatrists on call in a university teaching hospital.一所大学教学医院中随叫随到的精神科医生之间收治率的差异。
Ann Gen Psychiatry. 2018 Jul 10;17:30. doi: 10.1186/s12991-018-0199-x. eCollection 2018.
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Sociodemographic Influences of Emergency Department Care for Anxiety Disorders.
急诊科焦虑症护理的社会人口学影响因素
J Behav Health Serv Res. 2018 Oct;45(4):593-604. doi: 10.1007/s11414-018-9598-7.
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Emergency psychiatry training and the decision to hospitalize : a longitudinal study of psychiatric residents.急诊精神病学培训与住院决策:一项对精神科住院医师的纵向研究。
Acad Psychiatry. 1993 Sep;17(3):130-7. doi: 10.1007/BF03341515.
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Application of Level of Care Utilization System for Psychiatric and Addiction Services (LOCUS) to psychiatric practice in Japan: a preliminary assessment of validity and sensitivity to change.精神科和成瘾服务利用护理水平系统(LOCUS)在日本精神科实践中的应用:对有效性和变化敏感性的初步评估。
Community Ment Health J. 2013 Aug;49(4):477-91. doi: 10.1007/s10597-012-9562-6. Epub 2012 Nov 29.
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A qualitative study of a psychiatric emergency.精神科急症的定性研究。
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Factors associated with clinicians' dispositions in an out-patient psychiatric department.门诊精神科中与临床医生处置方式相关的因素。
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Toward a redefinition of psychiatric emergency.迈向精神科急症的重新定义。
Health Serv Res. 2000 Aug;35(3):735-54.
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The home treatment enigma.家庭治疗之谜。
BMJ. 2000 Jan 29;320(7230):305-8. doi: 10.1136/bmj.320.7230.305.
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The failure of the diversion process: the impact of transferring of patients to state hospitals.分流过程的失败:将患者转移到公立医院的影响。
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