el-Guebaly N, Papineau D
Can J Psychiatry. 1984 Mar;29(2):115-20. doi: 10.1177/070674378402900206.
Clinicians in the field of mental health are met with the dual challenge of increased accountability and shrinking resources. Funds are often allocated through the use of crude administrative monitors. This is of little solace to the clinician faced with unmet patients' wants and needs. A set of clinical monitors is outlined requiring the practitioner's cooperation. The presentation of an accurate composite picture is a must in the process of resource allocation. Such clinical monitors include the analysis of characteristics of patients such as the repeaters at emergency, "the revolving door" pool of patients and those falling in between networks. Reviews of waiting lists and lengths of stay, an evaluation of nursing care variables, the auditing of the choice of therapeutic modalities and the use of restraints are other suggested contributors to the assessment of service needs.
心理健康领域的临床医生面临着责任增加和资源减少的双重挑战。资金通常通过粗略的行政监控手段进行分配。这对于面对患者需求未得到满足的临床医生来说几乎没有什么安慰作用。本文概述了一系列需要从业者合作的临床监控指标。在资源分配过程中，必须呈现准确的综合情况。此类临床监控指标包括对患者特征的分析，如急诊室的复诊患者、“旋转门”患者群体以及处于不同网络之间的患者。对等候名单和住院时间的审查、对护理变量的评估、对治疗方式选择的审计以及约束措施的使用，都是评估服务需求的其他建议性因素。
