Boyer C A, Olfson M, Kellermann S L, Hansell S, Walkup J, Rosenfield S, Mechanic D
Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ 08903, USA.
Psychiatr Q. 1995 Winter;66(4):293-320. doi: 10.1007/BF02238751.
A multi-phase research project examining current inpatient psychiatric practices and the relationships between different treatments and patient outcomes is described. The study sample includes Medicaid patients with a diagnosis of schizophrenia who have been treated in inpatient units of general hospitals in New York State. The research is focused at the heart of the debate concerning the appropriate role of inpatient psychiatric care within a balanced system of mental health services. Addressed are the conceptual issues that guided the project, research strategies, instrument development, measures used and the preliminary findings that informed successive phases. Design issues are reviewed in light of the conceptual and pragmatic decisions made with a multiple site design. A compelling argument is made about the need for a long-term treatment orientation that prepares patients for what lies ahead and that assures communication and continuity between inpatient and outpatient care.
本文描述了一个多阶段研究项目，该项目旨在考察当前住院精神科的治疗实践以及不同治疗方法与患者治疗结果之间的关系。研究样本包括纽约州综合医院住院部收治的诊断为精神分裂症的医疗补助患者。该研究聚焦于精神卫生服务平衡体系中住院精神科护理恰当作用这一辩论的核心。文中讨论了指导该项目的概念性问题、研究策略、工具开发、所采用的测量方法以及为后续阶段提供信息的初步研究结果。根据多地点设计所做出的概念性和实用性决策，对设计问题进行了回顾。文中有力地论证了需要一种长期治疗导向，这种导向能让患者为未来做好准备，并确保住院治疗与门诊治疗之间的沟通和连续性。
