Stebbins L A, Hardman G L
Tufts University Medical School, Boston, MA.
Gen Hosp Psychiatry. 1993 Jul;15(4):234-42. doi: 10.1016/0163-8343(93)90038-p.
The utilization of psychiatric crisis teams in urban hospitals is well documented. However, little is reported describing patients who use crisis teams in suburban general hospital emergency rooms. This is a descriptive survey of 1707 suburban patient visits. This study relates patient demographics with the length of time required to provide crisis intervention and disposition. A regression model is used to analyze the duration of service time and utilization patterns in relation to eight variables: season, month, day, shift, diagnosis, method of payment, age, and disposition. Five predictors are identified as significantly relating to the duration of the psychiatric consultation process. These predictors may enable hospital administrators and medical staff to plan and implement psychiatric emergency room care.
城市医院中精神科危机干预团队的使用情况已有充分记录。然而,关于在郊区综合医院急诊室使用危机干预团队的患者的报道却很少。这是一项对1707例郊区患者就诊情况的描述性调查。本研究将患者人口统计学特征与提供危机干预和处置所需的时间长度联系起来。采用回归模型分析服务时间的长短和使用模式与八个变量的关系:季节、月份、日期、班次、诊断、支付方式、年龄和处置情况。确定了五个与精神科会诊过程时长显著相关的预测因素。这些预测因素可能有助于医院管理人员和医护人员规划和实施精神科急诊护理。