Tansella M, Bellantuono C
Department of Medical Psychology, University of Verona, Italy.
Br J Gen Pract. 1991 Nov;41(352):468-71.
The main features of the psychiatric system and of the general practice system in Italy since the psychiatric reform and the introduction of a national health service are briefly described. Research conducted in Italy confirms that a large proportion of patients seen by general practitioners have psychological disorders and that only some of those patients whose psychological problems are identified by general practitioners are referred to specialist psychiatric care. Thus, the need to identify the best model of collaboration between psychiatric services and general practice services is becoming increasingly urgent. The chances of improving links between the two services and of developing a satisfactory liaison model are probably greater in countries such as Italy where psychiatric services are highly decentralized and community-based, than in countries where the psychiatric services are hospital-based.
简要描述了意大利自精神病学改革和引入国家医疗服务体系以来，精神科系统和全科医疗系统的主要特点。在意大利进行的研究证实，全科医生诊治的患者中有很大一部分患有心理障碍，且只有部分被全科医生识别出心理问题的患者会被转介至专科精神科护理。因此，确定精神科服务与全科医疗服务之间最佳合作模式的需求变得越来越迫切。与以医院为基础的精神科服务的国家相比，在意大利这样精神科服务高度分散且以社区为基础的国家，改善这两种服务之间联系并建立令人满意的联络模式的可能性可能更大。
