Race, quality of care, and antipsychotic prescribing practices in psychiatric emergency services.
Race, quality of care, and antipsychotic prescribing practices in psychiatric emergency services.
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精神科急诊服务中的种族、护理质量和抗精神病药物处方实践。
DOI：
10.1176/ps.47.3.282
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Watson,MA
中科院分区：
文献类型：
--
作者：
Segal,SP;Bola,JR;Watson,MA
目的研究非裔美国人在精神科急诊服务中临床医生的处方做法是否有所不同。抗精神病药物的处方及其与护理质量的关系是一个特别的焦点。方法对442例精神科急诊患者的独立评估数据进行多因素分析。这些观察是在加利福尼亚州的四家城市综合医院进行的为期五年的观察。结果四个急诊科的临床医生给非裔美国人开的精神科药物比给其他病人开的多，而花在评估上的时间明显减少，其中大多数是白人。非洲裔美国人接受了更多的口服剂量和更多的抗精神病药物注射，24小时抗精神病药物的平均剂量(1,321毫克)显著高于其他患者(825毫克)，当临床医生对患者进行治疗的努力被评为更高时，对非洲裔美国人患者过度用药的倾向较低。结论这些结果强调了努力让非裔美国人参与治疗过程的重要性，以及临床技能和培训的需要，以帮助弥合文化距离。
Objective The study examined whether the prescription practices of clinicians in psychiatric emergency services differed for African-American patients. Prescription of antipsychotic medications and its relation to quality of care was a particular focus. Methods Data from 442 independently observed evaluations of patients in psychiatric emergency services were examined using multivariate analyses. The observations were made during a five-year period at four urban general hospitals in California. Results Clinicians in the four emergency services, most of whom were Caucasian, prescribed more psychiatric medications to African Americans than to other patients and devoted significantly less time to their evaluations. African Americans received more oral doses and more injections of antipsychotic medications, and the mean 24-hour dosage of antipsychotics (1,321 milligrams) was significantly higher than for other patients (825 milligrams), The tendency to overmedicate African-American patients was lower when clinicians’ efforts to engage the patients in treatment were rated higher. Conclusions The results highlight the importance of efforts to engage African Americans in the treatment process and the need for clinical skills and training to help bridge cultural distances.
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DOI：
10.1176/ajp.141.6.748
发表时间：
1984
期刊：
The American journal of psychiatry
影响因子：
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作者：
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