Breslow R E, Klinger B I, Erickson B J
Capital District Psychiatric Center, Albany, NY 12208, USA.
Psychiatr Serv. 1996 Nov;47(11):1259-61. doi: 10.1176/ps.47.11.1259.
Managed care programs establish procedures to help their patients avoid use of psychiatric emergency services. To determine whether managed care patients who do visit the emergency service do so primarily for hospitalization and have briefer contacts with the service because of preapproval for hospitalization, records were examined for 293 patients who visited a psychiatric emergency service; 69 were enrolled in a managed care plan. The findings did not confirm the expectations: many managed care patients received crisis services and were referred for outpatient care. The non-managed-care group had more psychotic and substance use disorders, required more emergency community intervention, and had more previous psychiatric hospitalizations.
管理式医疗计划制定了相关程序，以帮助其患者避免使用精神科急诊服务。为了确定那些确实前往急诊服务部门的管理式医疗患者是否主要是为了住院治疗，以及由于住院预先批准而与该服务部门的接触时间更短，研究人员检查了293名前往精神科急诊服务部门的患者的记录；其中69人参加了管理式医疗计划。研究结果并未证实预期：许多管理式医疗患者接受了危机服务，并被转介接受门诊治疗。非管理式医疗组患有更多的精神病和物质使用障碍，需要更多的紧急社区干预，并且之前有更多的精神病住院史。
