EMPIRICALLY ASSESSING THE IMPACT OF MOBILE CRISIS CAPACITY ON STATE-HOSPITAL ADMISSIONS

EMPIRICALLY ASSESSING THE IMPACT OF MOBILE CRISIS CAPACITY ON STATE-HOSPITAL ADMISSIONS
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DOI:
10.1007/bf00752775
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发表时间:
1990-06-01
影响因子:
2.7
通讯作者:
WIRTHCAUCHON, J
WIRTHCAUCHON, J
中科院分区:
医学4区
文献类型:
--
作者:
FISHER, WH;GELLER, JL;WIRTHCAUCHON, J

文献摘要

被引文献

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关于紧急精神病服务的文献中包含了许多主张,大意是移动的危机处理能力通过解决社区紧急情况减少了住院治疗。到目前为止,这些说法尚未得到实证分析的证实。这项研究,使用1986年的数据从马萨诸塞州,比较首次和总入院率的集水区与移动的能力,那些没有这样的服务,控制社区资源和住院需求的差异。该分析表明移动的容量对接纳率没有影响。这些发现并不被解释为移动的服务无效的证据,但被视为需要进一步的实证调查这些服务的指示。
The literature on emergency psychiatric services contains numerous claims to the effect that mobile crisis capacity reduced hospitalization by resolving emergencies in the community. To date these claims have not been substantiated by empirical analysis. This study, using 1986 data from Massachusetts, compares first and total admission rates of catchment areas with mobile capacity to those without such services, controlling for differences in community resources and demand for hospitalization. This analysis showed no effect of mobile capacity on admission rates. These findings are not interpreted as evidence of the ineffectiveness of mobile services, but are seen as indicative of the need for further empirical investigation of these services.