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The quality of psychiatric emergency evaluations and patient outcomes in county hospitals.
Author(s) -
Steven P. Segal,
Lance Egley,
Margaret A. Watson,
Stephen M. Goldfinger
Publication year - 1995
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.85.10.1429
Subject(s) - conformity , disposition , medicine , quality (philosophy) , scale (ratio) , patient care , emergency department , psychiatry , family medicine , medical emergency , psychology , nursing , social psychology , philosophy , physics , epistemology , quantum mechanics
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.

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