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[精神科门诊会诊-联络服务——其运作方式及效果如何:一项试点研究的结果?]

[Psychiatric outpatient consultation-liaison services--how do they work and what are their effects: results of a pilot study?].

作者信息

Kirchen-Peters Sabine, Fehrenbach Rosa-Adelinde, Diefenbacher Albert

机构信息

Institut für Sozialforschung und Sozialwirtschaft, Saarbrücken.

出版信息

Psychiatr Prax. 2012 Nov;39(8):394-9. doi: 10.1055/s-0032-1327187. Epub 2012 Sep 26.

DOI:10.1055/s-0032-1327187
PMID:23015244
Abstract

OBJECTIVES

Many patients benefit from interventions performed by the psychiatric liaison service.

METHODS

Prospective longitudinal study of community dwelling elderly patients supplemented by a questionnaire answered by family members, as well as expert interviews with the members of the consultation-liaison team and semi-structured interviews with family members.

RESULTS

The majority of patients had some benefit from the liaison psychiatric interventions, access to care was improved and lack of specialist support was reduced. In addition there was some cost offset due to prevention of admissions to nursing homes and inpatient hospital treatment.

DISCUSSION

With regard to demographic developments gerontopsychiatric liaison services should be integrated into the present system of health care. This should be supported by adjusting judicial obstacles that hamper such strategies.

摘要

目标

许多患者受益于精神科联络服务所实施的干预措施。

方法

对社区居住的老年患者进行前瞻性纵向研究,辅以家庭成员填写的问卷,以及对会诊联络团队成员的专家访谈和对家庭成员的半结构化访谈。

结果

大多数患者从联络精神科干预中获得了一些益处,就医机会得到改善,专科支持不足的情况有所减少。此外,由于预防了养老院入院和住院治疗,还实现了一定的成本抵消。

讨论

鉴于人口发展情况,老年精神科联络服务应融入现行医疗保健体系。这应通过消除阻碍此类策略实施的法律障碍来予以支持。

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