The Effects of a Referral Coordinator on Compliance With Psychiatric Discharge Plans
The Effects of a Referral Coordinator on Compliance With Psychiatric Discharge Plans
复制标题
转介协调员对遵守精神病出院计划的影响
DOI：
10.1176/ps.35.7.702
复制
发表时间：
1984
期刊：
影响因子：
--
通讯作者：
Kline Ge
中科院分区：
文献类型：
--
作者：
Bogin Dl;Anish Ss;Taub Ha;Kline Ge
为了调查转诊协调员对患者依从性的有效性，作者进行了一项三阶段研究，涉及退伍军人管理局医疗中心的554名成年精神病患者。研究的第一阶段建立了关于依从性的基线数据;第二阶段监测了工作人员试图为患者提供更多帮助以进行初步善后预约后的依从性;第三阶段监测了转诊协调员干预后的依从性。对患者、医院和治疗特征的数据分析表明，在将转诊协调员添加到治疗团队后，善后处理依从性显著增加。在最困难的患者组中，更严重的慢性老年患者的依从性尤其增加。作者讨论了影响的结果出院规划。
To investigate the effectiveness of a referral coordinator on patient compliance with initial aftercare referrals, the authors conducted a three-phase study involving 554 adult psychiatric patients at a Veterans Administration medical center. The first phase of the study established baseline data on compliance; the second phase monitored compliance following staff attempts to provide patients with more assistance in making initial aftercare appointments; and the third phase monitored compliance following the interventions of the referral coordinator. Analysis of the data on patient, hospital, and treatment characteristics indicated a marked increase in aftercare compliance after the addition of the referral coordinator to the treatment team. Compliance was especially increased in the most difficult patient group—the more acutely disturbed, chronic older patients. The authors discuss the implications of the results for discharge planning.