McCartney C F, Cahill P, Larson D B, Lyons J S, Wada C Y, Pincus H A
Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill 27599.
Am J Psychiatry. 1989 Jul;146(7):898-901. doi: 10.1176/ajp.146.7.898.
Because only 2% of the 47% of cancer patients with psychiatric disorders receive psychiatric consultations, the authors investigated the impact of a psychiatric liaison program on improving consultation rates on a gynecologic oncology unit. Consultation rates for gynecologic cancer patients before and after introduction of the program were compared to rates from other cancer patients in the same hospital during the same 7-year period. Rates for the gynecologic patients were higher after the program (9%) than before (4%), as were rates for follow-up consultations, and the detection of minor DSM-III disorders improved. The authors conclude that liaison improves access to psychiatric treatments that often enhance the quality of life for seriously ill patients.
由于在患有精神疾病的47%癌症患者中，只有2%接受了精神科会诊，因此作者调查了精神科联络项目对提高妇科肿瘤科室会诊率的影响。将该项目引入前后妇科癌症患者的会诊率与同一家医院其他癌症患者在同一7年期间的会诊率进行了比较。该项目实施后，妇科患者的会诊率（9%）高于之前（4%），随访会诊率也是如此，并且对轻度《精神疾病诊断与统计手册》第三版（DSM-III）疾病的检出率有所提高。作者得出结论，联络工作改善了精神科治疗的可及性，而这往往能提高重症患者的生活质量。
