Ross Wendy J, Chan Eugenia, Harris Sion Kim, Goldman Stuart J, Rappaport Leonard A
Children's Hospital Boston, Boston, MA 02115, USA.
Clin Pediatr (Phila). 2011 Jan;50(1):37-43. doi: 10.1177/0009922810379499. Epub 2010 Aug 19.
To describe pediatrician experiences collaborating with psychiatrists when caring for children with attention deficit hyperactivity disorder (ADHD), depression, and anxiety.
A random sample of Massachusetts primary care pediatricians completed a mailed self-report survey.
Response rate was 50% (100/198). Most pediatricians preferred psychiatrists to initiate medications for anxiety (87%) or depression (85%), but not ADHD (22%). Only 14% of respondents usually received information about a psychiatry consultation. For most (88%), the family was the primary conduit of information from psychiatrists, although few (14%) believed the family to be a dependable informant. Despite this lack of direct communication, most pediatricians reported refilling psychiatry-initiated prescriptions for ADHD (88%), depression (76%), and anxiety (72%).
Pediatricians preferred closer collaboration with psychiatrists for managing children with anxiety and depression, but not ADHD. The communication gap between psychiatrists and pediatricians raises concerns about quality of care for children with psychiatric conditions.
描述儿科医生在照料患有注意力缺陷多动障碍（ADHD）、抑郁症和焦虑症的儿童时与精神科医生合作的经历。
对马萨诸塞州的基层儿科医生进行随机抽样，让他们完成一份邮寄的自我报告调查。
回复率为50%（100/198）。大多数儿科医生倾向于让精神科医生为焦虑症（87%）或抑郁症（85%）患儿开启动药物治疗，但不包括ADHD（22%）。只有14%的受访者通常会收到有关精神科会诊的信息。对于大多数人（88%）来说，家庭是精神科医生提供信息的主要渠道，尽管很少有人（14%）认为家庭是可靠的信息提供者。尽管缺乏直接沟通，但大多数儿科医生报告称会为精神科医生开的ADHD（88%）、抑郁症（76%）和焦虑症（72%）药物进行续方。
儿科医生倾向于在管理患有焦虑症和抑郁症的儿童方面与精神科医生进行更密切的合作，但在ADHD方面并非如此。精神科医生和儿科医生之间的沟通差距引发了对患有精神疾病儿童护理质量的担忧。
