Jourdan J B, Glickman L
Lutheran Medical Center, Brooklyn, NY.
Psychosomatics. 1991 Fall;32(4):413-6. doi: 10.1016/S0033-3182(91)72043-4.
During the period from July through September 1989, 380 referrals to a psychiatry consultation-liaison service were reviewed. Of these patients, 25% were referred for a determination of competency, despite the fact that they often showed no evidence of mental illness. Seventy-five percent of the patients were found to be competent. Fear of medical legal consequences, physician's anxiety, lack of understanding of the rights of patients to refuse treatment, and a misunderstanding of the physician's duty when presented with such refusal seem to be the reasons for the large number of referrals.
在1989年7月至9月期间，对转介至精神科会诊-联络服务的380例病例进行了回顾。在这些患者中，25%是因能力鉴定而被转介的，尽管他们常常没有精神疾病的迹象。75%的患者被认定有行为能力。对医疗法律后果的担忧、医生的焦虑、对患者拒绝治疗权利的不理解以及面对这种拒绝时对医生职责的误解，似乎是大量转介的原因。
