Kishi Yasuhiro
Department of Psychiatry, Nippon Medical School Musashi Kosugi Hospital.
Seishin Shinkeigaku Zasshi. 2010;112(12):1203-9.
Psychiatric disorders are more commonly seen in general medical inpatient settings than in community settings. These inpatients are at particular risk for general medical and psychiatric treatment resistance, increased complications of disease, high health care service use, and disability. It is time to focus on improving the consultation-liaison psychiatry service system through care coordination strategies. In order to deliver high quality, effective, and efficient integrated care for medically complex patients, the appropriate assessment of health risks, resulting in coordinated care and effective communication, is the first step toward establishing a systematic approach in general hospital settings.
精神障碍在综合内科住院患者中比在社区环境中更常见。这些住院患者在接受综合内科治疗和精神科治疗时面临特殊风险，包括疾病并发症增加、医疗服务使用频繁以及残疾。现在是时候通过护理协调策略来专注于改善会诊联络精神病学服务系统了。为了为病情复杂的患者提供高质量、有效且高效的综合护理，对健康风险进行适当评估，从而实现协调护理和有效沟通，这是在综合医院环境中建立系统方法的第一步。
