Rosenthal T C, Shiffner J, Panebianco S
Department of Family Medicine, State University of New York, Buffalo 14208.
Fam Med. 1990 Jan-Feb;22(1):38-41.
A majority of patients with mental or emotional problems are seen in the general medical sector first, but physicians often report that they do not have the time or skills for dealing with these patients. This study focuses on physicians' and psychologists' beliefs about the components of making a successful referral. Interviews with family physicians and psychologists revealed that physician visits before and after referrals, good communication between the physician and the psychologist, physician knowledge about psychotherapy, third-party insurance coverage, and a holistic approach to the patient were considered important components of a successful referral. Physicians believed that patients' income and psychologist experience were less important than did psychologists, but physicians felt that involving the family was more important than psychologists. Both groups generally agreed about specific problems and their relationships to a successful referral. This survey identified issues useful to providers attempting to care for patients with psychological problems by the referral process.
大多数有精神或情绪问题的患者首先在普通医疗部门就诊，但医生经常报告说他们没有时间或技能来处理这些患者。本研究关注医生和心理学家对成功转诊要素的看法。对家庭医生和心理学家的访谈显示，转诊前后的医生问诊、医生与心理学家之间的良好沟通、医生对心理治疗的了解、第三方保险覆盖范围以及对患者的整体治疗方法被认为是成功转诊的重要要素。医生认为患者的收入和心理学家的经验不如心理学家认为的那么重要，但医生觉得让患者家属参与比心理学家更重要。两组在具体问题及其与成功转诊的关系上总体上意见一致。这项调查确定了一些对试图通过转诊程序照顾心理问题患者的医疗服务提供者有用的问题。
