县医院精神科急诊评估的质量与患者预后
The quality of psychiatric emergency evaluations and patient outcomes in county hospitals.
作者信息
Segal S P, Egley L, Watson M A, Goldfinger S M
机构信息
Mental Health and Social Welfare Research Group, University of California, Berkeley 94720, USA.
出版信息
Am J Public Health. 1995 Oct;85(10):1429-31. doi: 10.2105/ajph.85.10.1429.
Quality of care is widely assumed to be related to patient outcomes, but little is known about care in relation to outcomes in county general hospital psychiatric emergency services. It was hypothesized that conformity to professional standards (technical quality) and engagement of the patient (artful care) in psychiatric emergency services evaluations would contribute to improved patient functioning (Global Assessment Scale score) and appropriate disposition. A total of 583 cases in seven facilities were analyzed. Conformity to technical standards of care was associated with retention even after constraints, biases, and admission criteria had been taken into account. Conversely, artful care was associated with lower probability of retention and improved functioning.
人们普遍认为医疗质量与患者的治疗结果相关，但对于县级综合医院精神科急诊服务中与治疗结果相关的护理情况却知之甚少。研究假设，在精神科急诊服务评估中，符合专业标准（技术质量）和患者的参与度（巧妙护理）将有助于改善患者的功能（全球评估量表评分）和合理处置。对七个机构的583个病例进行了分析。即使在考虑了限制因素、偏差和入院标准之后，符合护理技术标准仍与留院治疗相关。相反，巧妙护理与留院可能性降低和功能改善相关。
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