FACTORS PREDICTING ADHERENCE WITH PSYCHIATRIC FOLLOW-UP APPOINTMENTS FOR PATIENTS ASSESSED BY THE LIAISON PSYCHIATRIC TEAM IN THE EMERGENCY DEPARTMENT
FACTORS PREDICTING ADHERENCE WITH PSYCHIATRIC FOLLOW-UP APPOINTMENTS FOR PATIENTS ASSESSED BY THE LIAISON PSYCHIATRIC TEAM IN THE EMERGENCY DEPARTMENT
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DOI：
10.2190/pm.40.2.g
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发表时间：
2010-01-01
影响因子：
2
通讯作者：
Cotter, David
中科院分区：
文献类型：
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作者：
Agyapong, Vincent I. O.;Rogers, Cathy;Cotter, David
背景资料：有几个因素可以预测在急诊科（艾德）由精神病联络小组进行的精神病随访的依从性。认识到这些因素将有助于针对弱势群体采取干预措施。目的：研究由精神病联络小组评估的患者在艾德接受精神病随访的依从性的预测因素。研究方法：由博蒙医院急诊科的精神病联络小组在3个月内对所有患者进行评估，然后将其转诊至社区精神卫生小组进行随访，对这些患者的记录进行相关人口统计学和临床变量检查。然后与患者转诊的团队进行电话联系，以确认预约以及患者是否参加了随访预约。资料以SPSS（17版）进行描述性统计及逻辑回归分析。结果：总体而言，56%的患者参加了随访预约。先前已知的精神科服务是唯一的统计学显着的预测与门诊预约的依从性;与优势比为7和p值为0.034时，控制其他变量。结论：如果要提高精神科随访预约的依从性，在急诊科评估之前不了解精神科服务的患者可能需要更积极主动的外展。(Int 2010;40：217-228）
Background: Several factors may predict adherence with psychiatric follow-up appointment for patients seen in the emergency department (ED) by liaison psychiatric teams. Awareness of these factors would allow for interventions targeted at vulnerable groups. Aim: To examine the factors which could predict adherence with psychiatric follow-up appointments for patients assessed in the ED by the liaison psychiatric team. Methods: The records of all patients assessed over a 3-month period by the liaison psychiatric team in the emergency department of Beaumont Hospital who were then referred for follow-up to their community mental health team were examined for relevant demographic and clinical variables. Phone contact was then made with the teams to which patients had been referred, to confirm the appointments made and if the patients had attended for their follow-up appointment. The data was analyzed with SPSS (version 17) using descriptive statistics and logistic regression. Results: Overall, 56% of the patients were found to have attended their follow-up appointments. Being previously known to psychiatric services was the only statistically significant predictor of adherence with out-patient appointments; with an odds ratio of 7 and p-value of 0.034 when controlling for other variables. Conclusion: Patients who are not known to psychiatric services prior to assessment in the emergency department may need a more proactive outreach if compliance with psychiatric follow-up appointments is to be improved. (Int'l J. Psychiatry in Medicine 2010;40:217-228)