From efficacy to effectiveness: managing organisational change to improve health services for young people with deliberate self harm behaviour.
From efficacy to effectiveness: managing organisational change to improve health services for young people with deliberate self harm behaviour.
复制标题
从功效到效果：管理组织变革，以改善对有故意自残行为的年轻人的健康服务。
DOI：
10.1071/ah010143
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Uta C Dietrich
中科院分区：
文献类型：
--
作者：
M. Tobin;Adam R. Clarke;Richard Buss;Stewart L. Einfeld;John R. Beard;Michael Dudley;Michelle Knowles;Uta C Dietrich
重复故意自我伤害是自杀既遂的公认风险因素，因此通过有效的卫生服务反应减少自杀是对自杀预防的有效贡献。然而，只有一小部分故意自我伤害的人在一般健康环境中实际上达到了专家心理健康随访预约。因此，即使在这一点上的反应是有效的，它们也不会对减少重复自我伤害做出重大贡献。我们描述了卫生系统的组织变革战略，以提高目标群体的卫生服务参与度，并提出了数据证明这些战略的有效性。
Repeat Deliberate Self Harm is a recognised risk factor for completed suicide and therefore reduction by effective health service response represents a valid contribution to suicide prevention. However, only a small fraction of people with deliberate self harm presentations to general health settings actually reach specialist mental health follow-up appointments. Therefore, even if responses at that point are known to be effective they do not make a significant contribution to reducing repeat self-harm overall. We describe health system organisational change strategies to improve health service engagement for the target group, and present data demonstrating the effectiveness of these strategies.
青少年自杀未遂者治疗就诊的人口统计学预测因素。
影响因子：
5.9
作者：
Piacentini,J;Rotheram-Borus,MJ;Gillis,JR;Graae,F;Trautman,P;Cantwell,C;Garcia-Leeds,C;Shaffer,D
通讯作者：
Shaffer,D