一个计算机管理的电话采访,以识别精神障碍
K A Kobak1, L H Taylor, S L Dottl
1Dean Foundation for Health, Research and Education, Middleton, Wis 53562, USA. Kobak_Ken_A@ssmhcs.com
JAMA
|September 25, 1997
概括
使用心理疾病初级保健评估 (PRIME-MD) 的电脑辅助电话采访是识别初级保健中心理健康状况的有效工具. 这项技术提高了医生对患者护理的可访问性和质量.
科学领域:
- 精神病学是一种精神病学.
- 初级医疗保健医学 一级医疗保健医学
- 卫生技术评估 卫生技术评估
背景情况:
- 在初级保健机构中,精神健康障碍往往没有被诊断出来.
- 准确和高效的查工具对于早期干预至关重要.
- 初级保健医生需要可访问的方法来识别精神疾病.
研究的目的:
- 评估基于电话,计算机管理的精神疾病初级保健评估 (PRIME-MD) 版本的有效性和临床实用性.
- 确定这项技术是否可以有效地识别初级保健患者的精神疾病.
- 为了比较其诊断准确性与已建立的临床采访.
主要方法:
- 通过电话辅助的计算机管理的PRIME-MD版本与临床医生管理的DSM-IV诊断结构化临床面试 (SCID) 进行了比较.
- 采访是通过使用交互式语音响应 (IVR) 技术通过电话进行的.
- 参与者包括来自各种初级保健和专科诊所的200名门诊患者.
主要成果:
- 在计算机管理的PRIME-MD (60.0%) 和SCID (58.5%) 之间,整体精神疾病的患病率相似.
- 与SCID相比,计算机和临床医生管理的PRIME-MD都显示出高灵敏度和特异性.
- 对任何诊断的同意 (K) 是可比的:计算机管理的0.67和临床医生管理的0.70PRIME-MD.
结论:
- 电话辅助,计算机管理的PRIME-MD是评估初级保健中精神病理学的有效工具.
- 交互式语音响应 (IVR) 技术提高了可用性,并为医生提供了有价值的信息.
- 这种方法可以提高患者护理质量,而不会增加医生的工作量或成本.
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