精神卫生组织的精神病门诊护理服务,美国,1986年。

J H Sunshine, M J Witkin, J E Atay, R W Manderscheid
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摘要

1986年,2,967个精神卫生组织,或美国(包括领土)所有精神卫生组织的62%,提供精神科门诊护理服务。这些有组织的门诊服务共提供了560万例患者护理。这些事件共涉及4700万次就诊和280万次新增就诊,占当年有组织机构中所有精神病患者护理事件的69%。在1983-84年和1986年之间,提供精神科门诊护理服务的组织数量和这些组织新增的门诊人数都增加了大约4%。多服务精神卫生组织是提供精神科门诊护理的最突出的精神卫生组织类型。在2967家提供此类护理的机构中,它们占42%,承担了54%的新增门诊病人、53%的发作和54%的就诊。其次是独立的精神病门诊诊所和非联邦综合医院的单独精神病服务。他们分别占提供精神科门诊治疗的机构的26%和17%。每个都提供了12%到18%的门诊增加、发作和访问。超过90%的多服务精神卫生组织和退伍军人管理局精神病学组织提供门诊精神病学护理。相比之下,只有29%的州立和县级精神病院、36%的私立精神病院、37%的提供精神服务的非联邦综合医院和23%的情绪紊乱儿童住院治疗中心提供这种形式的护理。(摘要删节250字)
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Psychiatric outpatient care services in mental health organizations, United States, 1986.

In 1986, 2,967 mental health organizations, or 62 percent of all mental health organizations in the United States (including territories), offered psychiatric outpatient care services. A total of 5.6 million patient care episodes were provided by these organized outpatient services. These episodes involved a total of 47 million visits and 2.8 million additions, and represented 69 percent of all psychiatric patient care episodes in organized settings that year. Both the number of organizations with psychiatric outpatient care services and the number of outpatient additions to these organizations increased by approximately 4 percent between 1983-84 and 1986. Multiservice mental health organizations were the most prominent type of mental health organization in the provision of psychiatric outpatient care. They comprised 42 percent of the 2,967 organizations offering this type of care and were responsible for 54 percent of the outpatient additions, 53 percent of the episodes, and 54 percent of the visits. Next in importance were freestanding psychiatric outpatient clinics and separate psychiatric services in non-Federal general hospitals. They accounted for 26 percent and 17 percent, respectively, of organizations providing psychiatric outpatient care. Each provided 12 to 18 percent of outpatient additions, episodes, and visits. Over 90 percent of multiservice mental health organizations and Veterans Administration psychiatric organizations offered outpatient psychiatric care. In contrast, this form of care was offered by only 29 percent of State and county mental hospitals, 36 percent of private psychiatric hospitals, 37 percent of nonFederal general hospitals with psychiatric services, and 23 percent of residential treatment centers for emotionally disturbed children.(ABSTRACT TRUNCATED AT 250 WORDS)

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Data highlights on: utilization of Mental Health Organizations by elderly persons. CMHS data highlights on: availability of psychiatric beds, United States: selected years, 1970-1990. The effect of inflation on expenditures by mental health organization between 1969 and 1990. Male-female admission differentials in state mental hospitals, 1880-1990. Data highlights on: the evolution and expansion of mental heath care in the United States between 1955 and 1990.
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