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首页> 外文期刊>Psychosomatics >How Do You Know Your Consult Service is Doing a Good Job? Generating Performance Measures for C-L Service Effectiveness
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How Do You Know Your Consult Service is Doing a Good Job? Generating Performance Measures for C-L Service Effectiveness

机译：您如何知道您的咨询服务做得很好？生成C-L服务有效性的绩效指标

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Background: There is no consensus in the literature on measures for evaluating the performance of general hospital Consultation-Liaison psychiatry services.Objective: The purpose of this study was to investigate what indicators might be used to this end. Methods: We surveyed United States Psychosomatic Medicine fellowship directors (n = 53) about the use of performance measures for their psychiatric consultation services. Results of this survey led to the construction of a second survey, which was distributed to the representatives of services calling for psychiatric consultations at our hospital (n = 21); this survey sought to determine the importance of various performance parameters to overall consultee satisfaction. Results: Sixty-three percent of responding psychiatric consult services do not use any of the parameters identified in the literature as performance measures. Consultee satisfaction was endorsed as a valuable performance indicator by 67.7% of them, but no satisfaction rating instrument was identified. The internal survey of consultees identified 11 of 16 candidate parameters as important or very important to consultee satisfaction, of which "consultant understands the core situation and the core question being asked" received the highest rating. Conclusions: Consultee satisfaction is perceived as a useful global measure of the effectiveness of a psychiatric consult service. We elicited parameters that can be used to create a measurement tool for consultee satisfaction with Consultation-Liaison services. The use of such a tool merits testing in a larger multicenter study.
机译：背景：关于评估综合医院咨询-联络精神病学服务绩效的文献尚无共识。目的：本研究的目的是研究可用于此目的的指标。方法：我们对美国心身医学研究金主任（n = 53）进行了调查，了解他们的精神病咨询服务使用了绩效评估。该调查的结果导致第二次调查的构建，该调查已分发给需要在我们医院进行精神科咨询的服务代表（n = 21）;这项调查旨在确定各种绩效参数对总体被调查者满意度的重要性。结果：63％的回应性精神病咨询服务未使用文献中确定的任何参数作为绩效指标。 67.7％的被调查者满意程度被认可为有价值的绩效指标，但未找到满意程度评定工具。对被调查者的内部调查确定了16个候选参数中的11个对被调查者的满意度很重要或非常重要，其中“顾问了解核心情况和所问的核心问题”获得最高评分。结论：被咨询者的满意度被认为是衡量精神科咨询服务有效性的有用的全球指标。我们提出了可用于创建测量工具的参数，以使咨询联系服务的被调查者满意。使用这种工具值得在较大的多中心研究中进行测试。

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