AJIT AVASTHI, M.D., Additional Professor, Department of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh-160012.
Indian J Psychiatry. 1998 Jul;40(3):224-30.
Aim To study the profile of psychiatric disorders in medical-surgical inpatients so that subpopulations with particular mental health care needs could be identified.
a retrospective analysis of 1245 referrals seen over seven years showed that psychiatric profiles in referrals from different sub-populations divided according to age, gender, source of referral and medical-surgical diagnosis, were quite dissimilar. It was felt that non-recognition of specific needs of these client groups had led to low referral rates (0.65%), and to referral practices wherein the needs of the consultee (referral for disturbed behaviour) and the consultant (management by pharmacologic agents) and certain social biases (low referrals for suicide attempts) had taken precedence over the requirements of optimal management of the cases.
Financial and manpower constraints limit the advocacy for a superspecialist orientation, as a policy in India. It is recommended that while continuing with the provision of general consultation services, psychiatrists should acquire expertise in areas of C-L work, which fit in with their area of interest in general psychiatry.
研究内科-外科住院患者的精神障碍情况，以便确定具有特殊精神卫生需求的亚人群。
对七年中 1245 例转诊患者的回顾性分析显示，根据年龄、性别、转诊来源和内科-外科诊断对不同亚人群进行划分的转诊患者的精神科特征差异很大。人们认为，未能认识到这些患者群体的特定需求导致了转诊率低（0.65%），并且转诊实践中，咨询者的需求（因行为紊乱而转诊）和顾问的需求（通过药物治疗进行管理）以及某些社会偏见（自杀企图的低转诊率）优先于病例的最佳管理要求。
财务和人力限制限制了在印度倡导超专科方向的政策。建议在继续提供一般咨询服务的同时，精神科医生应在他们在一般精神病学领域感兴趣的领域获得 C-L 工作方面的专业知识。
