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首页> 外文期刊>The International journal of social psychiatry >Continuity of care for people with psychotic illness: Its relationship to clinical and social functioning
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Continuity of care for people with psychotic illness: Its relationship to clinical and social functioning

机译：精神病患者的持续护理：与临床和社会功能的关系

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Background: The relationship between continuity of care and user characteristics or outcomes has rarely been explored. The ECHO study operationalized and tested a multi-axial definition of continuity of care, producing a seven-factor model used here. Aims: To assess the relationship between user characteristics and established components of continuity of care, and the impact of continuity on clinical and social functioning. Methods: The sample comprised 180 community mental health team users with psychotic disorders who were interviewed at three annual time-points, to assess their experiences of continuity of care and clinical and social functioning. Scores on seven continuity factors were tested for association with user-level variables. Results: Improvement in quality of life was associated with better Experience & Relationship continuity scores (better user-rated continuity and therapeutic relationship) and with lower Meeting Needs continuity factor scores. Higher Meeting Needs scores were associated with a decrease in symptoms. Conclusion: Continuity is a dynamic process, influenced significantly by care structures and organizational change.
机译：背景：护理连续性与使用者特征或结果之间的关系很少被探讨。 ECHO研究操作并测试了护理连续性的多轴定义，产生了此处使用的七因素模型。目的：评估使用者特征与护理连续性的既定组成部分之间的关​​系，以及连续性对临床和社会功能的影响。方法：该样本包括180个患有精神病的社区精神卫生小组用户，他们在每年的三个时间点接受访谈，以评估他们的护理连续性以及临床和社会功能的经历。测试了七个连续性因子的分数与用户级别变量的关联。结果：生活质量的改善与更好的“体验和关系”连续性得分（更好的用户评价的连续性和治疗关系）以及更低的“会议需求”连续性因子得分有关。较高的会议需求分数与症状减轻相关。结论：连续性是一个动态过程，受护理结构和组织变化的影响很大。

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