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首页> 外文期刊>Journal of psychiatric practice. >Psychiatric Hospitalists and Continuity of Care: A Comparison of Two Models
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Psychiatric Hospitalists and Continuity of Care: A Comparison of Two Models

机译：精神科住院医生与护理的连续性：两种模型的比较

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The Michael E. DeBakey Veterans Affairs (VA) Medical Center inpatient psychiatry program underwent a series of substantial changes that led to a shift from a continuity of care (COC) model to a hospitalist environment in 2007. Although similar changes in other fields of medicine (general medicine, pediatrics, surgery, cardiology, and neurology) have been associated with several care benefits, no studies to date have evaluated the potential effects of such a change in models in psychiatry. The shift at the Michael E. DeBakey VA Medical Center thus provided a unique opportunity to compare these two models of care and gather evidence about which model may be more beneficial to patients. Data were derived retrospectively from two separate periods of time, one representative of the COC model (July-December 2006) and one representative of the hospitalist model (July-December 2008). The total number of discharges increased significantly from the first to the second period. Although the average length of stay remained similar, the number of readmissions occurring within 30 days of discharge was much lower during the hospitalist period. In addition, patients discharged in the hospitalist period were more likely to attend their outpatient mental health appointments. Findings suggest a preference for the hospitalist model over a COC model.
机译：迈克尔·E·德巴基·退伍军人事务（VA）医疗中心的住院精神病学计划经历了一系列重大变化，导致2007年从护理连续性（COC）模式转变为住院环境。尽管在其他医学领域也发生了类似变化（普通医学，儿科，外科，心脏病学和神经病学）已与多种护理益处相关联，迄今为止，尚无研究评估这种改变对精神病学模型的潜在影响。因此，迈克尔·E·德巴基（Michael E. DeBakey）VA医疗中心的转变提供了一个独特的机会，可以比较这两种护理模式并收集有关哪种模式对患者更有益的证据。数据分别来自两个不同的时期，一位代表COC模型（2006年7月至12月），一位代表医院模型（2008年7月至12月）。从第一阶段到第二阶段，放电总数显着增加。尽管平均住院时间保持相似，但在住院期间，出院后30天内再入院的次数要少得多。此外，住院期间出院的患者更有可能参加门诊心理健康预约。研究结果表明，与COC模型相比，医院模型更为偏爱。

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