门诊咨询模式：对一家大都市精神病医院门诊患者的调查

Patterns of outpatient consultation: a survey of outpatients attending a metropolitan psychiatric hospital.

作者信息

Wijesinghe C P, Clancy D J, Wink P M, Chopra H D

出版信息

Acta Psychiatr Scand. 1987 Jul;76(1):48-58. doi: 10.1111/j.1600-0447.1987.tb02861.x.

DOI:10.1111/j.1600-0447.1987.tb02861.x

Abstract

A survey of all outpatients (n = 1135) attending a regional psychiatric hospital during a 3-month period. Psychoses constituted 72% and non-psychotic disorders 25%. Psychoses had a greater proportion of long-term attenders while non-psychotic disorders, though frequent (43%) among recent attenders, showed a high attrition rate. Demographic characteristics, patterns of attendance, selected clinical features, level of functioning and difficulties of management of the different diagnostic groups are presented and discussed. Reasons are adduced to explain why patients who were deemed suitable for transfer to other care had not been discharged from hospital. Steps taken to reduce the patient load and increase the efficiency of the services are described.

摘要

对一家地区精神病医院在3个月期间的所有门诊患者（n = 1135）进行的一项调查。精神病患者占72%，非精神病性障碍患者占25%。精神病患者中长期就诊者的比例更高，而非精神病性障碍患者虽然在近期就诊者中很常见（43%），但流失率很高。文中呈现并讨论了不同诊断组的人口统计学特征、就诊模式、选定的临床特征、功能水平和管理困难。文中还给出了理由来解释为什么那些被认为适合转至其他护理机构的患者尚未出院。描述了为减轻患者负担和提高服务效率所采取的措施。