Olfson M
Columbia University College of Physicians & Surgeons, Department of Psychiatry, New York, New York.
Gen Hosp Psychiatry. 1993 Sep;15(5):277-83. doi: 10.1016/0163-8343(93)90019-k.
This paper examines the frequency with which general hospitals with inpatient psychiatric units provide psychiatric emergency, outpatient, and partial hospital care. An analysis is presented of data from the 1988 American Hospital Association Annual Survey of Hospitals focusing on the number and proportion of general hospitals with psychiatric units that offer psychiatric emergency, outpatient, and partial hospital services. The vast majority (82.6%) of general hospitals with psychiatric units provided psychiatric emergency room services, approximately half (50.3%) provided psychiatric outpatient services, and slightly over a third (37.9%) offered partial hospitalization services. General hospitals with psychiatric units were more likely to provide outpatient psychiatric services if they were under private nonprofit or nonfederal governmental control than if they were under private for-profit control. General hospitals with inpatient substance abuse treatment services were more likely to provide complementary outpatient services than were general hospitals with inpatient psychiatric services (70.8% vs 50.3%). The results indicate that at half of the hospitals with psychiatric units, discharge planning necessarily involves referring patients outside of the hospital for continuing care.
本文考察了设有住院精神科病房的综合医院提供精神科急诊、门诊及部分住院治疗服务的频率。文章对1988年美国医院协会年度医院调查数据进行了分析，重点关注设有精神科病房的综合医院中提供精神科急诊、门诊及部分住院服务的数量及比例。绝大多数（82.6%）设有精神科病房的综合医院提供精神科急诊室服务，约半数（50.3%）提供精神科门诊服务，略多于三分之一（37.9%）提供部分住院服务。与受私人营利性控制的设有精神科病房的综合医院相比，受私人非营利性或非联邦政府控制的医院更有可能提供精神科门诊服务。设有住院药物滥用治疗服务的综合医院比设有住院精神科服务的综合医院更有可能提供补充性门诊服务（70.8%对50.3%）。结果表明，在半数设有精神科病房的医院中，出院计划必然涉及将患者转至院外接受持续护理。
