• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Nordic journal of psychiatry. >Admissions to a Norwegian emergency psychiatric ward: Patient characteristics and referring agents. A prospective study
【24h】

Admissions to a Norwegian emergency psychiatric ward: Patient characteristics and referring agents. A prospective study

机译：挪威急诊精神科病房入场：患者特征和推荐人。前瞻性研究

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background. In Norway, general practitioners serve as gatekeepers for specialist psychiatric care. Out-of-hours primary healthcare (i.e. casualty clinics) is responsible for the major part of acute psychiatric referrals. There are concerns regarding regular general practitioners' (rGPs') role in emergency psychiatric care of their enlisted patients. Also, the quality of casualty clinics' care and their gatekeeper function are questioned. Aims. To investigate differences between acute admissions to a psychiatric hospital from casualty clinics, rGPs, specialist psychiatric services and other specialist services regarding characteristics of patients and circumstances of the referrals. Methods. A prospective observational study. In the period of 1 May 2005 to 30 April 2008, anonymous information was recorded for all consecutive admissions (n = 5317) to the psychiatric acute unit (PAU) at a psychiatric hospital serving 400,000 inhabitants. The recorded information was: referring agent, circumstances of the referral, patient characteristics, and assessments by the receiving psychiatric resident and the therapist in charge of treatment at the PAU. Results. There were only small differences between patients referred to PAU from casualty clinics, rGPs, specialist psychiatric services and other specialist services. The referrals from the different referring agents seemed equally well founded. However, the casualty clinics used more police assistance and coercion, and legal basis for admissions was more frequently converted than for other referring agents. Conclusion. Casualty clinics seem to function adequately as gatekeepers. The high proportion of casualty clinic referrals with converted legal basis might indicate unnecessary use of coercion.
机译：背景。在挪威，全科医生是专科精神病护理的看门人。营业时间以外的主要医疗机构（即伤亡诊所）负责急性精神科转诊的大部分工作。普通全科医生（rGPs）在入伍患者的紧急精神病治疗中的作用令人担忧。此外，伤亡诊所的护理质量及其看门人功能也受到质疑。目的调查患者诊所和转诊情况对伤员诊所，rGP，专科精神科服务和其他专科服务的急性入院率之间的差异。方法。前瞻性观察研究。在2005年5月1日至2008年4月30日期间，在为40万居民提供服务的精神病医院中，所有连续入院（n = 5317）精神病急性病患者的匿名信息均被记录下来。记录的信息为：转介人员，转介情况，患者特征以及由接受治疗的精神病患者和在PAU负责治疗的治疗师进行的评估。结果。从伤亡诊所，rGP，专科精神科服务和其他专科服务转介到PAU的患者之间只有很小的差异。来自不同推荐代理人的推荐似乎同样成立。但是，伤亡诊所使用了更多的警察协助和胁迫手段，比其他推荐人更经常地转换收生的法律依据。结论。伤亡诊所似乎可以充分发挥看门人的作用。伤员诊所转诊的比例很高，且法律依据有所改变，可能表明不必要地使用了胁迫手段。

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