Bartsch D A, Shern D L, Feinberg L E, Fuller B B, Willett A B
Colorado Division of Mental Health, Denver 80236.
Hosp Community Psychiatry. 1990 Jul;41(7):786-90. doi: 10.1176/ps.41.7.786.
To assess the prevalence of physical disorders among outpatients treated in Colorado's public mental health system, a total of 175 patients from two community mental health centers received a comprehensive medical screening that included a standard physical examination and laboratory analyses. Of these patients, 46 percent had physical conditions or laboratory test results warranting further medical evaluation. A previously undiagnosed physical health problem was identified in 20 percent of the screened patients, and about 16 percent had conditions that could cause or exacerbate their mental disorder. The authors conclude that public mental health systems should ensure routine assessment of the physical health of psychiatric outpatients and suggest guidelines for developing medical screening procedures in public settings.
为评估科罗拉多州公共心理健康系统中门诊患者身体疾病的患病率，来自两个社区心理健康中心的175名患者接受了全面的医学筛查，包括标准体格检查和实验室分析。在这些患者中，46%患有身体疾病或实验室检查结果需要进一步医学评估。在20%的筛查患者中发现了先前未被诊断出的身体健康问题，约16%的患者患有可能导致或加重其精神障碍的疾病。作者得出结论，公共心理健康系统应确保对精神科门诊患者的身体健康进行常规评估，并建议制定公共环境中医学筛查程序的指导方针。
