积极主动和按需精神病学咨询服务的观察性研究:不同角色和结果的证据
Patrick T Triplett1, Elizabeth Prince1, O Joseph Bienvenu1
1Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
Journal of the Academy of Consultation-Liaison Psychiatry
|March 20, 2024
概括
积极的精神病学咨询服务识别更多的患者,提供更快的护理,而按需服务支持复杂的病例. 这两种模式对于综合性住院精神病治疗至关重要.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 积极的精神病学咨询服务加快了需要精神病学护理的医疗住院患者的识别和评估.
- 这些服务可以减少住院时间,提高工作人员的满意度.
- 主动和按需服务往往并存,需要了解它们的不同角色.
研究的目的:
- 为了比较当代主动和按需精神病咨询服务之间的人口和临床数据.
- 通过使用电子医疗记录在4年的回顾期内分析单一学术医疗中心内的差异.
主要方法:
- 电子医疗记录的回顾性分析.
- 在主动和按需精神科咨询服务之间比较患者人口统计,临床数据和服务利用率.
- 在4年的时间里收集的数据.
主要成果:
- 积极服务处理的入院人数显著增加 (7592人对1762人),入院时间缩短,初始精神病医疗接触更快.
- 通过主动服务看到的患者更有可能是女性,黑人,并有公共保险.
- 根据要求的服务管理了住院时间较长,ICU/手术参与率较高,住院死亡率较高或出院接受亚急性康复的患者.
结论:
- 积极主动和应要求的精神病学服务在住院护理中发挥着互补的作用.
- 积极服务有效地选和治疗大量潜在的服务不足的患者.
- 按需服务为有复杂需求的患者提供关键支持,确保护理的连续性.
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