Kessler L G, Steinwachs D M, Hankin J R
Med Care. 1980 Dec;18(12):1219-27. doi: 10.1097/00005650-198012000-00007.
The continued growth of outpatient psychiatric care has been accompanied by a large number of research studies concerning the determinants of psychiatric utilization. One of the major limitations of these efforts has been the inability to go beyond distributional data on the use of services. This article describes a methodology for generating episodes of psychiatric care given a data set with a small amount of routinely collected data present in many medical information systems. Both demographic and medical characteristics are significantly associated with health services resource use as defined by the number of visits in an episode. A model predicting recurrent episodes of care is also described. The general utility of this approach and the substantive implications of the specific results are discussed.
门诊精神科护理的持续增长伴随着大量关于精神科服务利用决定因素的研究。这些研究的主要局限性之一在于无法超越服务使用的分布数据。本文描述了一种方法，即在许多医疗信息系统中存在少量常规收集数据的数据集的情况下生成精神科护理事件。人口统计学和医学特征都与以一次护理事件中的就诊次数定义的卫生服务资源使用显著相关。还描述了一个预测反复护理事件的模型。讨论了这种方法的一般效用以及具体结果的实质意义。
