Sexson S B, Kahan B B
Department of Psychiatry, Emory University School of Medicine, Atlanta, GA 30322.
Gen Hosp Psychiatry. 1991 Sep;13(5):296-304. doi: 10.1016/0163-8343(91)90033-s.
The growing literature regarding the development of medical-psychiatric units to facilitate diagnosis and treatment of patients with combined medical and psychiatric disorders is primarily limited to adult populations. Almost no published information is available concerning combined pediatric medical-psychiatric units. This article, the first in a two-part series, outlines the organization and development of a child and adolescent medical-psychiatric unit within a pediatric hospital. Various academic, administrative, political, financial, and clinical issues that must be considered during the developmental process are delineated and discussed. The second part of the series will address clinical management issues.
关于设立医疗-精神科单元以促进合并躯体和精神疾病患者诊断与治疗的文献越来越多，但主要局限于成人患者群体。关于儿童医疗-精神科联合单元，几乎没有公开的信息。本文是一个系列文章的第一篇，概述了一家儿童医院内儿童和青少年医疗-精神科单元的组织与发展。文中阐述并讨论了在发展过程中必须考虑的各种学术、行政、政治、财务和临床问题。该系列文章的第二部分将探讨临床管理问题。
