• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Behavioral and Brain Science >In-House Implications of a 1-Year Retrospective Analysis of the Psychiatric Consultation-Service in a German University Hospital
【24h】

In-House Implications of a 1-Year Retrospective Analysis of the Psychiatric Consultation-Service in a German University Hospital

机译：对德国大学医院的精神科咨询服务进行1年回顾性分析的内部含义

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: Due to major differences in patient populations, consultants and hospital settings of single-centres structured analyses of the psychiatric consultation-service (PCS) might be considered as an internal statistical appraisal for quality and efficacy improvements of the focused PCS. Method: The patient population given by the original documentation schedules of psychiatric consultations performed in the University hospital of Ulm in the year 2008 were analysed for the following variables: sex, age, requesting department, based problem or consultation query, allocated psychiatric diagnosis, therapeutic suggestion, occurrence and number of psychiatric consultations within the same case, acuteness level, diagnosis according to ICD-10 F and therapeutic recommendation. Results: In a total of n = 656 consultations most frequent questions were for: “medication”, “diagnostic suggestions” and “no specific question”, whereupon “no question” was given in 19%. A statement concerning the urgency-level of the consultation was present in 10.5%. Organic mental disorders, mood disorders, neurotic, stress-related and somatoform disorders formed 72% of all diagnoses. Pharmacotherapy was most frequently recommended. The detected shortcomings were mostly the result of heterogenous documentation. Conclusions: Frequent absence of relevant information throughout the consultation process gives reason for interdisciplinary arrangements to create a rational algorithm for PCS. Based on our findings standardization of our consultation reports was established by means of a standard form and a pocket-booklet which provides diagnostic guidelines and therapeutic recommendations.
机译：目的：由于患者人群的重大差异，精神病咨询服务（PCS）的单中心结构化分析的顾问和医院设置可能被认为是针对重点PCS的质量和功效改善的内部统计评估。方法：分析2008年在乌尔姆大学医院进行的精神科咨询原始文件时间表中给出的患者人群，分析以下变量：性别，年龄，请求科，基于问题或咨询的对象，分配的精神病诊断，治疗同一病例内的精神科咨询的建议，发生和次数，急性程度，根据ICD-10 F的诊断和治疗推荐。结果：在总共656次咨询中，最常见的问题是：“药物治疗”，“诊断建议”和“没有具体问题”，因此，“无问题”的答复率为19％。关于磋商的紧急程度的声明以10.5％的比例出现。器质性精神障碍，情绪障碍，神经性，压力相关性和躯体形式障碍占所有诊断的72％。最常推荐药物治疗。发现的缺点主要是异类文档的结果。结论：整个咨询过程中经常缺少相关信息，这为跨学科安排创建PCS合理算法提供了理由。根据我们的调查结果，我们通过一份标准表格和一本提供诊断指南和治疗建议的袖珍手册建立了我们的咨询报告的标准化。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号