Chaturvedi S K, Balaraju K B, Upadhyaya M, Rao S
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India.
Int J Soc Psychiatry. 1989 Summer;35(2):197-203. doi: 10.1177/002076408903500208.
Consecutive new cases were screened to identify those referred by other specialties. The referred cases were compared with a randomly selected control group from the non referred cases. Referred cases constituted 16.4% of all the clinic new cases but the demographic characteristics were similar to those of the other clinic cases. Functional somatic complaints were significantly more often (p less than 0.01) reported by the referred cases. Depressive and anxiety symptoms were also significantly more often observed in the referred group (p less than 0.01). Most of the referred cases had identifiable psychiatric problems which could be managed in an out-patient setting. Studies on referral patterns and modes of clinical presentation are useful in planning and organising consultation liaison services in general and specialist centres.
对连续的新病例进行筛查,以确定那些由其他专科转诊而来的病例。将转诊病例与从未转诊病例中随机选取的对照组进行比较。转诊病例占所有门诊新病例的16.4%,但其人口统计学特征与其他门诊病例相似。转诊病例报告功能性躯体主诉的频率显著更高(p<0.01)。在转诊组中,抑郁和焦虑症状的观察频率也显著更高(p<0.01)。大多数转诊病例有可识别的精神问题,可在门诊环境中处理。关于转诊模式和临床表现方式的研究,对于综合和专科中心的咨询联络服务规划和组织很有用。