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沙特一家医院会诊-联络精神病学的差异方面。I:转诊模式和临床指标。

Differential aspects of consultation-liaison psychiatry in a Saudi hospital. I: referral pattern and clinical indices.

作者信息

Alhamad A M, Al-Sawaf M H, Osman A A, Ibrahim I S

机构信息

Department of Psychiatry, College of Medicine, King Saud University Riyadh, Saudi Arabia.

出版信息

East Mediterr Health J. 2006 May-Jul;12(3-4):316-23.

Abstract

Consultation-liaison psychiatry has emerged as an important sub-specialty in the general hospital setting during recent years as a result of psychiatric acute wards moving into these hospitals. This has inspired the need for better structured research to establish its relevance and effectiveness. We, therefore, carried out a prospective cohort study at King Fahad General Hospital. We report the interaction of sociodemographic, clinical and diagnostic factors, time lag of referral and diagnostic ability of referring physicians. A total of 206 patients were referred over a period of 6 months. Sensitivity and specificity of the diagnostic skills of the referring doctors were found to be generally poor, particularly for anxiety.

摘要

近年来,随着精神科急症病房进入综合医院,会诊联络精神病学已成为综合医院环境中一个重要的亚专业领域。这激发了开展更具系统性研究以确定其相关性和有效性的需求。因此,我们在法赫德国王总医院开展了一项前瞻性队列研究。我们报告了社会人口学、临床和诊断因素之间的相互作用、转诊的时间间隔以及转诊医生的诊断能力。在6个月的时间里,共有206名患者被转诊。结果发现,转诊医生诊断技能的敏感性和特异性总体较差,尤其是在焦虑症方面。

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