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OPAC HELP

Titolo:
PSYCHIATRIC-HOSPITALIZATION DECISION-MAKING BY CMHC STAFF
Autore:
HENDRYX MS; ROHLAND BM;
Indirizzi:
WASHINGTON STATE UNIV,WASHINGTON INST MENTAL ILLNESS RES & TRAINING,DEPT PSYCHOL,601 W 1ST AVE SPOKANE WA 99204 UNIV IOWA,DEPT PSYCHIAT IOWA CITY IA 52242
Titolo Testata:
Community mental health journal
fascicolo: 1, volume: 33, anno: 1997,
pagine: 63 - 73
SICI:
0010-3853(1997)33:1<63:PDBCS>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
INAPPROPRIATE USE; EMERGENCY ROOM; ADMISSION; PHYSICIANS; CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Physical, Chemical & Earth Sciences
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
M.S. Hendryx e B.M. Rohland, "PSYCHIATRIC-HOSPITALIZATION DECISION-MAKING BY CMHC STAFF", Community mental health journal, 33(1), 1997, pp. 63-73

Abstract

The decision to recommend hospitalization for patients with psychiatric illness is often made on the basis of unknown reliability and validity. The purpose of this study was to examine the characteristics and reliability of self-reported psychiatric hospitalization decision making among staff at a Community Mental Health Center. Foremost among theresults, the conditions that staff consider to be appropriate indicators of hospitalization show only modest reliability. Kappa interrater reliabilities of .10 to .60 persist across different staff types and different patient problems. Results from hypothetical cases support a micro-certainty, macro-uncertainty hypothesis: staff are highly confident in the appropriateness of their treatment recommendations, but the recommendations across staff are variable. The results empirically demonstrate the need to improve the reliability of the hospitalization decision, and to work towards valid outcomes-based hospitalization criteria.

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Documento generato il 20/09/20 alle ore 05:44:52