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[大型综合医院会诊联络精神病学的可行性:服务及人员支出的定量描述]

[Feasibility of consultation - liaison psychiatry in a large general hospital: quantitative description of services and personnel expenditure].

作者信息

Windhager Elmar, Thaler Katharina, Selberis-Vahl Wilia Vasiliki, Friedl-Wörgetter Petra, Windhager Isabella, Zauner Katharina

机构信息

Abteilung für Psychiatrie und psychotherapeutische Medizin, klinische Psychologie und Psychotherapie, Klinikum Wels-Grieskirchen GmbH, Grieskirchner Str. 42, 4600, Wels, Österreich,

出版信息

Neuropsychiatr. 2015;29(2):84-7. doi: 10.1007/s40211-015-0146-x. Epub 2015 Apr 28.

DOI:10.1007/s40211-015-0146-x
PMID:25917541
Abstract

BACKGROUND

The integration of psychiatric departments in general hospitals lead to an increasing demand of psychiatric consultation, which often overstrains personnel resources of short staffed psychiatric services. To provide consulting service, as it is demanded by guidelines, a multidisciplinary consulting team could be a possible solution.

METHODS

A retrospective descriptive analysis of all consultations made by the psychosocial consultation and liaison service at the general hospital Wels-Grieskirchen in the years 2012 and 2013.

RESULTS

There was an increase in referrals overall of 22 % from 2012 to 2013. The largest increase was observed in the group of psychiatrists, who carried out 33.1 % of all consultations. Most consultations, 39.5 %, were done by the group of clinical psychologists, partly substituting medical attendance. Taking together both occupational groups, the expected number of consultations of at least 3 % of all admissions could be achieved.

CONCLUSION

A multidisciplinary consulting team consisting of psychiatrists, psychologists, psychosomatic physicians and social workers staffed with 5.11-6.79 full-time personnel is able to provide psychosocial consultation service at a quantitative level required by international guidelines.

摘要

背景

综合医院精神科的整合导致精神科会诊需求不断增加,这常常使人员短缺的精神科服务的人力资源不堪重负。为了按照指南要求提供会诊服务,多学科会诊团队可能是一个解决方案。

方法

对韦尔斯 - 格里茨基兴综合医院心理社会会诊联络服务部门在2012年和2013年进行的所有会诊进行回顾性描述分析。

结果

从2012年到2013年,转诊总数增加了22%。精神科医生小组的会诊增加最多,他们进行了所有会诊的33.1%。大多数会诊(39.5%)由临床心理学家小组进行,部分替代了医生的出诊。将这两个职业群体加在一起,可以达到至少占所有入院人数3%的预期会诊数量。

结论

一个由精神科医生、心理学家、心身医学医生和社会工作者组成的多学科会诊团队,配备5.11 - 6.79名全职人员,能够按照国际指南要求的数量水平提供心理社会会诊服务。

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