Evaluation of hospital-based outpatient pediatric psychology services.
Evaluation of hospital-based outpatient pediatric psychology services.
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医院门诊儿科心理服务的评价。
DOI：
10.1093/jpepsy/12.4.485
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发表时间：
1987
影响因子：
3.6
通讯作者：
M. Cataldo
中科院分区：
文献类型：
--
作者：
M. H. Charlop;J. Parrish;L. Fenton;M. Cataldo
对于一个领域的发展来说，重要的是对其活动的定量描述。本研究测量了一家医院儿童心理门诊在一年内的服务特征。我们对连续转介到我们计划的一百个病例进行了患者和问题特征、推荐治疗、临床结果和消费者满意度方面的分析。结果表明，(a) 不依从、发脾气和攻击性是父母最关心的问题，(b) 根据治疗师的判断，行为治疗方法在大多数病例中取得了成功的临床结果，(c) 临床改善通常持续至少一年，尽管在略低于一半的病例中偶尔会继续出现问题，(d) 大约 80% 的病例在服务终止后没有出现新的行为问题，(e) 当确实出现新的行为问题时，大多数病例都没有出现新的行为问题。的家长不需要额外的诊所联系来执行据报道的治疗上正确的管理策略，并且 (f) 大多数家长对服务感到满意或非常满意。结果提供了一个定量记录临床疗效和缺陷的例子，这项活动对于在财政负担沉重的医疗保健系统中生存儿科心理学服务越来越必要。
Important to the growth of a field is the quantitative description of its activities. The present study measured service characteristics of a hospital based Pediatric Psychology outpatient clinic during a 1 year period. One-hundred cases referred consecutively to our program were analyzed in terms of patient and problem characteristics, recommended treatments, clinical outcome and consumer satisfaction. The results indicated that (a) non compliance, tantrums and aggression were among the parents' foremost concerns, (b) a behavioral treatment approach resulted in successful clinical outcomes in a majority of cases as judged by therapists, (c) clinical im provements were typically sustained for at least 1 year although problems continued to occur occasionally in slightly less than half of the cases, (d) new behavior problems did not emerge in approximately 80% of the cases following termination of services, (e) when new behavior problems did occur, the majority of parents did not require additional clinic contact to carry out reportedly therapeutically correct management strategies, and (f) most parents were satisfied or extremely satisfied with services. The results provide an example of quantitatively documenting clinic efficacy and deficiency, an activity that is increasingly necessary for the survival of Pediatric Psychology services in a financially burdened health care system.