Mood disorders in the emergency department: the challenge of linking patients to appropriate services.

Mood disorders in the emergency department: the challenge of linking patients to appropriate services.
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急诊科的情绪障碍:为患者提供适当服务的挑战。

DOI:
10.1016/j.genhosppsych.2007.10.009
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发表时间:
2008
影响因子:
7
通讯作者:
Rhodes,KarinV
Rhodes,KarinV
中科院分区:
医学2区
文献类型:
--
作者:
Rhodes,KarinV

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医院急诊科(EDs)日益成为精神疾病首次出现的地方(2)。结果是,对精神健康症状的识别、诊断和转诊往往取决于急诊科医生。然而,无论是对急诊医生的培训,还是精神科和社会服务所需的支持基础设施,都没有跟上国家的发展趋势,导致急诊科医生在完成这项任务方面准备不足,资源不足。1992年至2000年间,急诊科心理健康就诊人数增加了15%。当时,主要的心理健康问题约占所有急诊科就诊的5.5%,精神疾病的入院率高于非精神疾病的入院率。几位作者注意到,门诊精神卫生保健的障碍越来越多,导致急诊科作为各种精神卫生投诉评估的护理场所的使用增加(3)。2000年,Hazlett等人预测,由于“美国精神卫生保健的融资和提供”的变化,这一趋势将继续增加。(4)
Hospital emergency departments (EDs) have increasingly become a location in which mental illness first presents (2). The result is that identification, diagnosis, and referral for mental health symptoms rests, not infrequently, with ED physicians. However, neither the training of emergency physicians nor the needed support infrastructure of psychiatric and social services have kept up with national trends, leaving ED providers poorly prepared and under-resourced for the task.Between 1992 and 2000 there was an increase of 15% in ED mental health visits. At that time, primary mental health concerns accounted for approximately 5.5% of all ED visits with the admission rate for psychiatric conditions being higher than for non-psychiatric diagnoses. Several authors have noted that increasing barriers to outpatient mental health care have resulted in an increase in use of EDs as sites of care for the evaluation of a variety of mental health complaints (3). In 2000, Hazlett et al. predicted that this trend would continue to increase as a result of changes in “financing and delivery of mental health care in the United States.”(4)
DOI: 10.1093/nar/10.15.4715
发表时间: 1982
影响因子: 14.9
作者:
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发表时间: 1985
影响因子: 2.8
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DOI: 10.1021/bi00361a026
发表时间: 1986-07-01
期刊: BIOCHEMISTRY
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发表时间: 1982-01-01
期刊: BIOCHEMISTRY
影响因子: 2.9
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DOI: --
发表时间: 1984
期刊:
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