Department of Psychiatry, School of Medicine, University of Washington, Seattle, WA, USA.
Child Adolesc Ment Health. 2021 May;26(2):174-175. doi: 10.1111/camh.12460. Epub 2021 Apr 7.
Inpatient psychiatric care is the most expensive resource within the pediatric mental health system and is too often justified based on the lack of more appropriate and effective services. Rates of readmission are high, and data regarding long-term benefits are lacking. The continuum of care needs to be realigned to meet the needs of children and families, with investments in intensive community-based services and evidence-based training while limiting the use of acute inpatient care to those patients whose clinical presentations require and benefit from that level of service.
住院精神科护理是儿童心理健康系统中最昂贵的资源，而且往往是基于缺乏更合适和有效的服务而被采用。再入院率居高不下，而且缺乏关于长期效益的数据。需要对护理的连续性进行调整，以满足儿童和家庭的需求，投资于强化社区服务和基于证据的培训，同时将急性住院护理的使用限制在那些临床表现需要并受益于该服务水平的患者。
