Kates N, Craven M, Webb S, Low J, Perry K
Department of Psychiatry, McMaster University, Hamilton, Ontario.
Can J Psychiatry. 1992 Feb;37(1):2-6. doi: 10.1177/070674379203700102.
The majority of patients with emotional or psychiatric disorders are treated in the primary care setting without psychiatric input. Psychiatrists need to find ways of helping family physicians manage these patients without necessarily taking over their care. One way of achieving this is for a psychiatric consultant to visit the family physician's office on a regular basis to discuss the physician's problem cases. This paper describes such a pilot project, outlines the kinds of problems family physicians discussed and recommendations that were made, and discusses the benefits of this collaborative approach.
大多数患有情感或精神障碍的患者在没有精神科医生参与的情况下在初级保健机构接受治疗。精神科医生需要找到方法来帮助家庭医生管理这些患者,而不必接管他们的治疗。实现这一目标的一种方法是让精神科顾问定期访问家庭医生办公室,讨论医生的疑难病例。本文描述了这样一个试点项目,概述了家庭医生讨论的问题类型和提出的建议,并讨论了这种合作方法的益处。