9 research outputs found
Development of appropriateness evaluation scale(AES) for the psychiatric hospitalization
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In order to evaluate the appropriateness of stay whose the hospitalized inpatients in various psychiatric facilities in Korea, the author conducted the Appropriateness Evaluation Scale(AES) which was developed by the author and expert committee. Total 196 inpatients were evaluated ; 50 from asylum 50 from mental hospital,30 from public hospital,38 from university hospital,28 private clinic. Main diagnosis are schizophrenia, organic brain syndrome according to DSM-β
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result were followed :
1. The initial 32 items of AES were evaluated for their significance of clinical judgement by item analysis. The result revealed that only 26 items of AES contributed to appropriateness of clinical judgement
2. The final 26 items from item analysis were compared with appropriateness of clinical judgement through sensitivity and specificity, The sensitivity of appropriateness from AES was 100%, but the specificity was 49%.
From the above results, the author concluded that AES must be complemented the clinical judgement items for the group of inappropriateness.
For the future study to conduct the appropriateness among hospitalized psychiatric inpatients, the author recommended two stage screening method ,full first stage screening test conducted by non-psychiatrist with 26 items of AES, and second stage of clinical evaluation by psychiatrist in terms of psychopathology.restrictio