Agyapong Vincent Io, Ahmodu Olorunfemi, Guerandel Allys
Dept of Psychiatry,School of Medicine,University of Dublin,Trinity College and St Patrick's University Hospital,James's Street,Dublin 8,Ireland.
St Vincent's University Hospital,Dublin 4,Ireland.
Ir J Psychol Med. 2011 Sep;28(3):134-137. doi: 10.1017/S0790966700012106.
This study aims to assess the rate of six monthly communications between specialised psychiatric services and primary care and to determine factors which predict such communication.
A retrospective review of the clinical records of all patients attending the relevant local psychiatric outpatient clinic was carried out by all members of the multidisciplinary team to identify patient demographic and clinical variables as well as to determine if there has been documentation of communication with primary care in the preceding six months. Letters were sent to the relevant primary care teams regarding progress on their patients in cases where it was identified that no communication had occurred in the preceding six months.
A total of 145 patients' charts were reviewed. Of these, 53.3% of the patients were females and 46.7% were males. The mean age was 47.9 years (SD = 14). Patients' diagnoses included; depression (41%), bipolar affective disorder (6.7%), schizophrenia/schizoaffective disorder (27.6%), anxiety disorders (6.7%), alcohol dependency syndrome (11%) and other disorders (7%). Overall, only 36% of patients' charts had a record of communication with primary care in the last six months. Only one variable, 'changes made to the patents medication in the last six months' was significantly associated with the likelihood that there had been communication with primary care with an odds ratio of 15 and a p-value of 0.00.
A six monthly review has a potential to improve the level of communication between specialised psychiatric services and primary care.
本研究旨在评估专科精神科服务与初级保健机构之间每六个月沟通的频率，并确定预测此类沟通的因素。
多学科团队的所有成员对所有前往当地相关精神科门诊就诊的患者的临床记录进行回顾性审查，以确定患者的人口统计学和临床变量，并确定在前六个月内是否有与初级保健机构沟通的记录。对于在前六个月内未发现有沟通记录的病例，向相关初级保健团队发送了有关其患者病情进展的信件。
共审查了145份患者病历。其中，53.3%的患者为女性，46.7%为男性。平均年龄为47.9岁（标准差=14）。患者的诊断包括：抑郁症（41%）、双相情感障碍（6.7%）、精神分裂症/分裂情感性障碍（27.6%）、焦虑症（6.7%）、酒精依赖综合征（11%）和其他疾病（7%）。总体而言，只有36%的患者病历中有过去六个月与初级保健机构沟通的记录。只有一个变量，即“过去六个月对患者药物治疗的改变”，与与初级保健机构沟通的可能性显著相关，比值比为15，p值为0.00。
每六个月进行一次审查有可能提高专科精神科服务与初级保健机构之间的沟通水平。
