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精神科医生对非精神科会诊的依从性:依从性会影响一致性吗?

Psychiatrists' compliance with nonpsychiatric consultations: does compliance affect concordance?

作者信息

Malhotra N, Ross R L, Epstein S, Mann L S, Wise T N

机构信息

Georgetown University School of Medicine.

出版信息

Int J Psychiatry Med. 1991;21(2):119-26. doi: 10.2190/GTKM-2BL4-03UR-E3PM.

DOI:10.2190/GTKM-2BL4-03UR-E3PM
PMID:1894451
Abstract

Utilizing a systematic methodology (The Consultation-Liaison Outcome Evaluation System), the compliance of nonpsychiatric consultations within a general hospital psychiatric unit staffed by private practitioners was assessed. Thirty-one percent of the patients received such consultations and these patients had a longer length of stay than those without a consultation. Psychiatrists were generally compliant with both medication and diagnostic recommendations; but in only half the discharge summaries was the consultant's primary medical diagnosis fully reflected. The implications of these data are discussed.

摘要

利用一种系统方法(会诊-联络结果评估系统),对一家由私人执业医生配备人员的综合医院精神科病房内非精神科会诊的依从性进行了评估。31%的患者接受了此类会诊,这些患者的住院时间比未接受会诊的患者更长。精神科医生总体上遵循药物治疗和诊断建议;但在出院小结中,只有一半充分反映了会诊医生的主要医学诊断。讨论了这些数据的意义。

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