Alhamad Abdulrazzak M, Hawari Rabie A, Mardini Daad M, Al-Sabhan Khalid N, Al-Sughayir Mohamed A, Al-Haidar Fatima A, Abdullah Samia A, Al-Huthail Yaser R, Asfina Kazi N
Division of Psychiatry, College of Medicine, King Saud University, PO Box 7805, Riyadh 11472, Kingdom of Saudi Arabia. Tel. +966 (1) 4672362. Fax. +966 (1) 4672571. E-mail:
Neurosciences (Riyadh). 2004 Oct;9(4):281-6.
To show prospectively the impact of establishing a consultation-liaison (C/L) psychiatry model on the consultation clinical indices.
A structured, organized model of C/L psychiatry was established in 1990 at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia and all clinical indices of the psychiatric consultations were compared prospectively over the first 3 years after January 1990 with those over the previous 2 years retrospectively before January 1990.
Three hundred and two patients were referred over 3 years after January 1990, group A and 99 patients were referred over the 2 years before January 1990, group B and the male to female ratio were similar in both groups 1:1.99 and 1:2.1. Referred cases were found more to be females, married and living in urban areas and referred from the Department of Medicine. Positive influences of establishing the C/L service were; nearly double rate of referral, more selectivity of cases, more referred cases for assessment of competence and with past psychiatric history, and more patients referred with informed consent. Depressive disorder was more common in both groups.
A well structured C/L psychiatry model, with clearly defined aims, has had a definite positive impact on the clinical indices of the psychiatric consultations promoting close cooperation for the excellence of patient care. This opens room for future research to explore specific developments in proposed models of C/L psychiatry.
前瞻性地展示建立会诊 - 联络（C/L）精神病学模式对会诊临床指标的影响。
1990年在沙特阿拉伯利雅得的哈立德国王大学医院建立了一个结构化、有组织的C/L精神病学模式，并将1990年1月之后的头3年里精神病会诊的所有临床指标与1990年1月之前的2年里的指标进行回顾性比较。
1990年1月之后的3年里有302例患者被转诊，为A组；1990年1月之前的2年里有99例患者被转诊，为B组，两组的男女比例相似，分别为1:1.99和1:2.1。发现转诊病例中女性、已婚且居住在城市地区的较多，且多来自内科。建立C/L服务的积极影响有：转诊率几乎翻倍、病例选择更具选择性、更多因能力评估和有精神病史而被转诊的病例，以及更多在获得知情同意后被转诊的患者。两组中抑郁症都更为常见。
一个结构完善、目标明确的C/L精神病学模式对精神病会诊的临床指标产生了明确的积极影响，促进了紧密合作以提供优质的患者护理。这为未来研究探索C/L精神病学模式的具体发展开辟了空间。
