Diefenbacher A
Department of Psychiatry and Psychotherapy Ev. Krankenhaus Königin Elisabeth Herzberge, Berlin, Germany.
Psychosomatics. 2001 Sep-Oct;42(5):404-10. doi: 10.1176/appi.psy.42.5.404.
This study describes changes in consultation process variables and referral patterns after implementation of a psychiatric consultation service at a university hospital in Germany. Two hundred eighty consecutive medical-surgical inpatient referrals for psychiatric consultation during a 1-year period were documented prospectively with a structured database. Changes took place in referral patterns and in psychiatric interventions and recommendations but not in psychiatric diagnoses. In addition, information is given on psychiatric and psychosomatic consultation service delivery in Germany.
本研究描述了德国一家大学医院实施精神科会诊服务后会诊过程变量和转诊模式的变化。在一年时间里，前瞻性地使用结构化数据库记录了280例连续的内科-外科住院患者精神科会诊转诊情况。转诊模式、精神科干预措施及建议发生了变化，但精神科诊断未变。此外，还介绍了德国精神科和身心科会诊服务的提供情况。
