Sved-Williams Anne, Poulton Jill
Perinatal and Infant Mental Health Services, Children, Youth and Women's Health Service, Adelaide, SA, Australia.
Australas Psychiatry. 2010 Apr;18(2):125-9. doi: 10.3109/10398560903469783.
The aim of this study was to describe and evaluate a service that provides a single point-of-entry for general practitioners (GPs) wishing to refer their patients for one-off psychiatric consultations, using a new Medicare Item, number 291.
Statistics of all referrals made through a single access point used by GPs for referral to psychiatrists were collated, as well as data regarding psychiatrists' provision of appointments. GPs using the service were surveyed after 28 months of operation.
Both GP and psychiatrist user groups were predominantly positive about their experience of a system that provided ease of access for GPs and appropriate use of psychiatric expertise. Use of the service rose from six referrals per week to 10 per week during the survey period. Fifty-five percent of psychiatrists who joined the service continued to provide appointments on a regular basis.
A single access point for GPs to access patient appointments to private psychiatric consultants is a simple and acceptable mode of increasing access for many patients to expert assessment and management plans.
本研究旨在描述和评估一项服务，该服务利用新的医疗保险项目编号291，为希望将患者转介进行一次性精神科会诊的全科医生提供单一接入点。
整理了通过全科医生转介精神科医生的单一接入点进行的所有转介统计数据，以及有关精神科医生提供预约的相关数据。在该服务运行28个月后，对使用该服务的全科医生进行了调查。
全科医生和精神科医生用户群体对该系统的体验大多持积极态度，该系统为全科医生提供了便捷的接入方式，并合理运用了精神科专业知识。在调查期间，该服务的使用量从每周6次转介增加到每周10次。加入该服务的精神科医生中有55%继续定期提供预约。
全科医生接入患者预约私人精神科顾问的单一接入点，是一种简单且可接受的模式，可让许多患者更方便地获得专家评估和管理计划。
