Bassuk E L, Gerson S
Gen Hosp Psychiatry. 1979 Apr;1(1):31-45. doi: 10.1016/0163-8343(79)90076-8.
In its position at the interface between the community and the general hospital, the emergency ward (EW) serves to reconcile the complex needs of the local population with the traditional organizational structure of the hospital. In recent years, the EW has been faced with the dilemma of managing increasing numbers of psychotic patients with chronic illness and psychosocial problems. In response to this impressive growth in the utilization of psychiatric emergency services, a variety of general hospitals have developed model programs of service delivery and methods for the evaluation of their effectiveness. This paper is an overview of utilization patterns, organization of services, and assessment of the evaluation and referral model. This issues facing general hospitals in the development of emergency care are clarified. The need for further research, program development, and clinical implementation is discussed.
在社区与综合医院的交界处，急诊病房（EW）的作用是协调当地居民的复杂需求与医院传统组织结构之间的关系。近年来，急诊病房面临着管理越来越多患有慢性病和心理社会问题的精神病患者的困境。为应对精神科急诊服务使用量的显著增长，各种综合医院制定了服务提供模式计划及其效果评估方法。本文概述了使用模式、服务组织以及评估和转诊模式的评估。阐明了综合医院在急诊护理发展中面临的问题。讨论了进一步研究、项目开发和临床实施的必要性。
