Bower P, Sibbald B
National Primary Care Research and Development Centre, Williamson Building, University of Manchester M13 9PL, UK.
BMJ. 2000 Mar 4;320(7235):614-7. doi: 10.1136/bmj.320.7235.614.
To review the published literature concerning the effects of on-site mental health professionals on general practitioners' management of mental health.
Systematic review of controlled trials.
Primary care.
General practitioners and mental health professionals.
Consultation rates, prescribing of psychotropics, and referrals to secondary care mental health services by general practitioners.
The effect of on-site mental health professionals on consultation rates was inconsistent. Referral to a mental health professional reduced the likelihood of a patient receiving a prescription for psychotropics or being referred to secondary care, although the effects were not consistent. An on-site mental health professional did not alter prescribing and referral behaviour towards patients in the wider practice population.
The secondary effects of mental health professionals on the clinical behaviour of general practitioners are comparatively modest and inconsistent and seem to be restricted to patients directly under the care of the mental health professional.
回顾已发表的关于现场心理健康专业人员对全科医生心理健康管理影响的文献。
对照试验的系统评价。
初级保健机构。
全科医生和心理健康专业人员。
会诊率、精神药物处方以及全科医生转介至二级心理健康服务机构的情况。
现场心理健康专业人员对会诊率的影响并不一致。转介给心理健康专业人员可降低患者接受精神药物处方或被转介至二级护理机构的可能性,尽管效果并不一致。现场心理健康专业人员并未改变对更广泛实践人群中患者的处方和转介行为。
心理健康专业人员对全科医生临床行为的次要影响相对较小且不一致,似乎仅限于直接接受心理健康专业人员护理的患者。