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儿童及青少年部分住院治疗的当前实践:一项全国性调查结果

The current practice of child and adolescent partial hospitalization: results of a national survey.

作者信息

Kiser L J, Culhane D P, Hadley T R

机构信息

University of Tennessee, Memphis, USA.

出版信息

J Am Acad Child Adolesc Psychiatry. 1995 Oct;34(10):1336-42. doi: 10.1097/00004583-199510000-00019.

DOI:10.1097/00004583-199510000-00019
PMID:7592271
Abstract

OBJECTIVE

In 1992, the American Association for Partial Hospitalization initiated a national survey of partial hospitalization providers to investigate their present status (programming, staffing, and pricing), to track market trends, and to improve advocacy for appropriate utilization and reimbursement.

METHOD

Instrument development and field testing preceded widespread distribution of the survey. From survey data, a description of child and adolescent partial hospital services based on statistical averages is reported as are analyses of program differences by length of stay and for-profit/not-for-profit status.

RESULTS

Of the 580 programs responding, 95 indicated that at least 50% of their patient population consisted of children and adolescents. Descriptive statistics on this subsample suggest continued variability in child and adolescent partial hospital programming. Program differences in referral and discharge patterns, population and programming, and utilization and funding patterns based on length of stay and profit status are presented.

CONCLUSIONS

The pattern of significant program differences between acute-care and long-term child and adolescent partial hospital programs and for-profit/not-for-profit programs (along with the absence of for-profit programs treating children and adolescents in long-term programs) points to an evolving system of care.

摘要

目的

1992年,美国部分住院治疗协会发起了一项针对部分住院治疗机构的全国性调查,以调查其现状(规划、人员配备和定价),跟踪市场趋势,并加强对合理利用和报销的宣传。

方法

在广泛分发调查问卷之前进行了工具开发和实地测试。根据调查数据,报告了基于统计平均值的儿童和青少年部分住院服务描述,以及按住院时间长短和营利性/非营利性状态进行的项目差异分析。

结果

在回复的580个项目中,95个表示其至少50%的患者群体为儿童和青少年。该子样本的描述性统计数据表明,儿童和青少年部分住院治疗规划仍存在差异。呈现了基于住院时间长短和盈利状态的转诊和出院模式、人群和规划以及利用和资金模式方面的项目差异。

结论

急性护理与长期儿童和青少年部分住院治疗项目以及营利性/非营利性项目之间存在显著项目差异的模式(以及长期项目中缺乏治疗儿童和青少年的营利性项目)表明护理体系在不断演变。

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