Abstract
Quality of care is widely assumed to be related to patient outcomes, but little is known about care in relation to outcomes in county general hospital psychiatric emergency services. It was hypothesized that conformity to professional standards (technical quality) and engagement of the patient (artful care) in psychiatric emergency services evaluations would contribute to improved patient functioning (Global Assessment Scale score) and appropriate disposition. A total of 583 cases in seven facilities were analyzed. Conformity to technical standards of care was associated with retention even after constraints, biases, and admission criteria had been taken into account. Conversely, artful care was associated with lower probability of retention and improved functioning.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Endicott J., Spitzer R. L., Fleiss J. L., Cohen J. The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psychiatry. 1976 Jun;33(6):766–771. doi: 10.1001/archpsyc.1976.01770060086012. [DOI] [PubMed] [Google Scholar]
- Segal S. P., Watson M. A., Goldfinger S. M., Averbuck D. S. Civil commitment in the psychiatric emergency room. I. The assessment of dangerousness by emergency room clinicians. Arch Gen Psychiatry. 1988 Aug;45(8):748–752. doi: 10.1001/archpsyc.1988.01800320064008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Segal S. P., Watson M. A., Nelson L. S. Indexing civil commitment in psychiatric emergency rooms. Ann Am Acad Pol Soc Sci. 1986 Mar;(484):56–69. doi: 10.1177/0002716286484001005. [DOI] [PMC free article] [PubMed] [Google Scholar]