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家庭医生与心理治疗转诊

Family physicians and referral for psychotherapy.

作者信息

Rudisill J R, Painter A F, Rodenhauser P, Gillen J C

机构信息

Department of Family Practice, Wright State University School of Medicine, Dayton, OH 45401-0927.

出版信息

Int J Psychiatry Med. 1989;19(3):249-62. doi: 10.2190/2j8v-da7m-jx7a-7d3q.

Abstract

This study examines the factors influencing family physicians' patient referrals for psychotherapy. A questionnaire designed from a pilot study of the full-time family practice faculty at Wright State University was mailed to all members (154) of the voluntary family practice faculty at Wright State University with a 63 percent return rate. Results indicated the most important factors in determining whether a patient is referred for psychotherapy include the severity of the problem, the threat of suicide, and the need for specialized treatment. The most important therapist characteristics looked for by a family physician are ability, availability, appreciation of the person as a whole, interaction skills, and experience. The article also discusses the ways in which family physicians find a psychotherapist, the feedback desired by the family physician from a psychotherapist, and type of psychotherapist discipline preferred by the family physician for handling various patient situations.

摘要

本研究探讨了影响家庭医生将患者转诊接受心理治疗的因素。一份基于对莱特州立大学全职家庭医疗教员的初步研究设计的问卷,被邮寄给了莱特州立大学志愿家庭医疗教员的所有成员(154人),回收率为63%。结果表明,决定患者是否被转诊接受心理治疗的最重要因素包括问题的严重程度、自杀威胁以及对专科治疗的需求。家庭医生所看重的最重要的治疗师特征包括能力、可及性、对患者整体的理解、互动技巧和经验。文章还讨论了家庭医生寻找心理治疗师的方式、家庭医生期望从心理治疗师那里得到的反馈,以及家庭医生在处理各种患者情况时所偏好的心理治疗师专业类型。

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