Andreoli Paola B A, Mari Jair de J
Departamento de Psiquiatria, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
Rev Saude Publica. 2002 Apr;36(2):222-9. doi: 10.1590/s0034-89102002000200015.
To investigate the relevance of subjective criteria adopted by a psychiatry and psychology consultation-liaison service, and their suitability in the evaluation of case registries and objective results.
Semi-structured interviews were conducted and all supervisors of the university hospital service were interviewed. Routinely collected case registries were also reviewed. Standardized assessment with content analysis for each category was carried out.
The results showed distortions in the adopted service focus (doctor-patient relationship) and consultant requests. This focus is more on consulting physician-oriented interventions than on patients.
Evaluation of the relevance of service criteria could help promoting quality assessment of the services provided, mainly when objective criteria have not yet been established to assure their suitability.
探讨精神科与心理科会诊联络服务所采用主观标准的相关性，及其在病例登记评估和客观结果评估中的适用性。
进行半结构式访谈，并对大学医院服务的所有主管进行访谈。还对常规收集的病例登记进行了审查。对每个类别进行了内容分析的标准化评估。
结果显示所采用的服务重点（医患关系）和会诊请求存在偏差。这种重点更多地放在以咨询医生为导向的干预措施上，而非患者身上。
评估服务标准的相关性有助于促进对所提供服务的质量评估，主要是在尚未建立客观标准以确保其适用性时。
