Morgan John F, Killoughery Maura
St George's Hospital Medical School, London, UK.
Br J Psychiatry. 2003 Feb;182:153-7. doi: 10.1192/bjp.182.2.153.
In 1986 the British Journal of Psychiatry published a study of physicians' and surgeons' management of psychological problems, later cited as evidence of barriers limiting liaison psychiatry.
To repeat the study after 16 years of liaison psychiatry.
Anonymous, confidential questionnaires were distributed to doctors at St George's Hospital, London, replicating the original study.
Most of the 225 respondents believed that psychological factors could influence physical prognosis and should be routinely assessed, with greater sense of responsibility for overdoses and dying patients. Most respondents found emotional assessment impractical. Although 78% wanted more psychiatric input, referrals were avoided because of 'stigmatisation'. Men were more likely than women to hold pejorative views, but outcomes no longer varied with seniority or specialty.
Compared with 1986, hospital doctors appear more aware of the psychological needs of patients.
1986年，《英国精神病学杂志》发表了一项关于内科医生和外科医生对心理问题处理方式的研究，该研究后来被引作限制联络精神病学发展障碍的证据。
在联络精神病学发展16年后重复此项研究。
向伦敦圣乔治医院的医生发放匿名、保密的调查问卷，以此复制最初的研究。
225名受访者中的大多数认为心理因素会影响身体预后，应该进行常规评估，对服药过量和濒死患者更有责任感。大多数受访者认为情感评估不切实际。尽管78%的人希望有更多精神科方面的介入，但由于“污名化”而避免转诊。男性比女性更可能持有贬低性观点，但结果不再因资历或专业不同而有差异。
与1986年相比，医院医生似乎更了解患者的心理需求。
