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Integrated Care: Should It Count as Community Psychiatry Training for Psychiatry Residents?

机译:综合护理:是否应该算作精神病学居民的社区精神病学培训?

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摘要

Psychiatry residents are required to be exposed to community psychiatry. Historically, this occurred in public hospitals or assertive community treatment (ACT) teams. A new model of psychiatric care delivery, integrated care, has become prevalent. While integrated care shares some features with traditional community psychiatry rotations, no research exists to demonstrate if integrated care rotations can accomplish the aims of traditional rotations. This pilot study compared learning outcomes in ACT team rotations versus integrated care rotations. Pre- and post-rotation surveys were disseminated to third-year psychiatry residents (N = 8) who were randomized to complete a rotation with an ACT team or an integrated care team. By rotation end, many in both settings changed how conservative they were in treatment philosophies, but this did not result in a difference between groups. Residents in both groups were satisfied with their rotations. Training in integrated care may be a reasonable alternative to traditional community psychiatry rotations.
机译:精神病学居民需要接触社区精神病学。从历史上看,这发生在公立医院或自信社区治疗(法案)团队中。一种新的精神护理牌,综合护理模型变得普遍。虽然综合保险股份含有传统社区精神病旋转的一些特征,但如果集成护理旋转可以实现传统旋转的目标,则不存在研究。该试点研究与ACT团队旋转的学习结果相比,与综合护理旋转相比。旋转后调查与第三年的精神病学居民(n = 8)被随机化,以完成与ACT团队或综合护理团队的轮换。通过旋转端,两个设置中的许多都改变了他们在治疗哲学中的保守,但这并没有导致群体之间的差异。两组的居民对他们的旋转感到满意。综合护理培训可能是传统社区精神病旋转的合理替代品。

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