Kisely Stephen, Horton-Hausknecht Jillian, Miller Kaye, Mascall Carolyn, Tait Alexander, Wong Patrick, Bostwick Richard
Primary Care Mental Health Unit, University of Western Australia.
Aust Fam Physician. 2002 Jun;31(6):587-9.
To evaluate a primary care partnership between the Rockingham-Kwinana Mental Health Service and Division of General Practice including a memorandum of understanding to streamline referrals, a consultation-liaison service, and a Balint group.
A questionnaire was sent to all 74 general practitioners in the Division. Standardised interviews compared GPs using the service with those who did not. We compared content of GP referrals before and after implementation with referrals of a control area (Armadale).
Thirty-four GPs (45%) returned questionnaires and 46 (62%) participated in interviews; 26 (80%) found the duty officer useful as a point of first consultation-liaison contact; 19 (60%) used referral forms. Most (80%) were aware of the consultation-liaison service and half had either used it or the Balint group. Referral content changed significantly compared to Armadale.
This study had weaknesses: it relied on self report and retrospective information on GP work practices, knowledge and interests, and nonblinded assessments of referral letters. Primary care partnerships may improve GPs' self reported skills in managing psychiatric disorder and referral behaviour.
评估罗金厄姆 - 奎纳纳精神卫生服务机构与全科医疗部门之间的基层医疗合作关系，包括一份旨在简化转诊流程的谅解备忘录、一项会诊 - 联络服务以及一个巴林特小组。
向该部门的所有74名全科医生发送了问卷。通过标准化访谈对比了使用该服务的全科医生与未使用该服务的全科医生。我们将实施前后全科医生的转诊内容与一个对照区域（阿玛代尔）的转诊内容进行了比较。
34名全科医生（45%）返回了问卷，46名（62%）参与了访谈；26名（80%）认为值班官员作为首次会诊 - 联络接触点很有用；19名（60%）使用了转诊表格。大多数（80%）知晓会诊 - 联络服务，半数使用过该服务或巴林特小组。与阿玛代尔相比，转诊内容有显著变化。
本研究存在不足之处：它依赖于自我报告以及关于全科医生工作实践、知识和兴趣的回顾性信息，并且对转诊信件的评估没有设盲。基层医疗合作关系可能会提高全科医生自我报告的管理精神疾病的技能和转诊行为。
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