Jaynes S, Charles E, Kass F, Holzman S
Am J Psychiatry. 1979 Nov;136(11):1454-7. doi: 10.1176/ajp.136.11.1454.
The authors raise the question of whether the directly supervised initial evaluation of outpatients by psychiatric residents influences the quality of patient care. The charts of 78 patients with direct supervision and 78 patients with traditional supervision were randomly selected for review four months after the initial interview. More than twice as many patients with direct supervision remained in active treatment or terminated after successful short-term treatment compared with traditionally supervised patients in the early intake period. Patients with direct supervision also received a less pathological diagnosis.
作者们提出了一个问题，即精神科住院医师对门诊患者进行直接监督的初始评估是否会影响患者护理质量。在初次面谈四个月后，随机抽取了78名接受直接监督的患者和78名接受传统监督的患者的病历进行审查。与早期接受传统监督的患者相比，在早期就诊阶段，接受直接监督的患者继续接受积极治疗或在短期治疗成功后终止治疗的人数是前者的两倍多。接受直接监督的患者也得到了病理程度较低的诊断。
