Northern Ontario School of Medicine, Thunder Bay, Ontario.
Can J Psychiatry. 2012 Jan;57(1):29-33. doi: 10.1177/070674371205700106.
In the shared care model, psychiatrists and physicians work in the same office areas, write their notes in the same casebooks, and can more rapidly exchange information about referrals and health conditions of their patients. We evaluated the impact of the introduction of a shared mental health care service, co-located with a primary care site, on wait times for mental health services in a northern Ontario city.
Chart reviews were conducted to examine a total of 3589 referrals for 5 mental health outpatient services (1 shared care and 4 existing services) from January 2001 to the end of June 2004. The shared mental health care service site was started in July 2001. Wait time was measured 6 months prior to and up to 3 years after the introduction of the shared care service.
The shared care site offered services more than 40 days sooner and also helped to reduce wait time on the nonshared care sites. After shared care began, the pre-existing, nonshared care services had wait times of about 13 days shorter during the 3 subsequent years.
The shared care service maintained the lowest overall wait times, compared with the existing nonshared care services. The existing services experienced a decrease in the number of days waiting when the baseline wait time was compared with that of the following year.
在共同照护模式中，精神科医生和内科医生在同一办公区域工作，在同一病历记录簿中记录他们的笔记，并可以更快速地交流转介信息和患者的健康状况。我们评估了在安大略省北部一个城市引入与初级保健场所位于同一地点的共享心理健康服务对心理健康服务等候时间的影响。
对 2001 年 1 月至 2004 年 6 月底共 3589 份转介至 5 种精神科门诊服务（1 种共同照护和 4 种现有服务）的记录进行了图表审查。共同照护服务于 2001 年 7 月开始。等候时间在共同照护服务引入前 6 个月和引入后 3 年内进行测量。
共同照护服务站点提供的服务提前了 40 多天，也有助于减少非共同照护服务站点的等候时间。在共同照护开始后，在接下来的 3 年中，现有的非共同照护服务的等候时间缩短了约 13 天。
与现有的非共同照护服务相比，共同照护服务保持了最低的总体等候时间。与前一年相比，现有的服务在等待时间方面的等待天数有所减少。
