Spencer J H, Mattson M R
Hosp Community Psychiatry. 1979 Apr;30(4):269-72. doi: 10.1176/ps.30.4.269.
The reasons for psychiatric hospitalization are not always taught clearly and formally to psychiatric residents; screening criteria employed in utilization review can be a tool for helping residents gather data and make decisions about the admission or continued stay of patients. On the admitting and inpatient units of the Payne Whitney Psychiatric Clinic, residents use sets of criteria for admission and for continued stay, with accompanying guidelines and clinical examples, as part of their training. The authros outline principles used in developing the criteria, including the belief that they should be applicable independent of diagnosis. They suggest that in a teaching hospital screening criteria should be taken as standards, and that they should be developed as part of the educational program and only then introduced into utilization review.
精神科住院治疗的原因并不总是被清晰、正式地传授给精神科住院医师；利用审查中采用的筛选标准可以成为帮助住院医师收集数据并就患者入院或继续留院做出决策的工具。在佩恩·惠特尼精神科诊所的收治病房和住院部，住院医师将入院和继续留院的标准集以及相应的指导方针和临床实例作为培训的一部分来使用。作者概述了制定这些标准所采用的原则，包括认为这些标准应独立于诊断而适用的观点。他们建议，在教学医院，筛选标准应被视为标准，并且应作为教育计划的一部分来制定，然后再引入利用审查。
