Hengeveld M W, Huyse F J, van der Mast R C, Tuinstra C L
Department of Psychiatry, B1-P University Hospital, Leiden, The Netherlands.
Gen Hosp Psychiatry. 1988 Nov;10(6):410-22. doi: 10.1016/0163-8343(88)90064-3.
There is still a striking lack of homogeneity in the terminology and classifications used in the registration of psychiatric consultation-liaison (C-L) data. Nowadays, the need for standardization of C-L data is greater than ever. Each registration consists of two components: the items and their categories. The present authors distinguish three levels of C-L data: fundamental, epidemiologic, and clinical-educational. A comprehensive proposal for standardization of such items and categories is presented, both on the fundamental and on the epidemiologic level. Data on 2657 consultations carried out by the Netherlands Consortium for C-L Psychiatry (NCCP) and from a literature review of 48 C-L reports serve to illustrate and as a supply for a large database. Various characteristics of the general hospital and of the C-L service are considered to be fundamental, that is, should be presented in each C-L publication. The epidemiologic data are divided into eight groups: sociodemographics, referral characteristics, history, diagnoses, diagnostic recommendations, ward management, discharge and aftercare management, and termination data. Finally, definitions and decision rules are given.
在精神科会诊联络（C-L）数据登记中使用的术语和分类仍存在显著的不一致性。如今，C-L数据标准化的需求比以往任何时候都更加强烈。每次登记都由两个部分组成：项目及其类别。本文作者区分了C-L数据的三个层次：基础层、流行病学层和临床教育层。本文针对此类项目和类别的标准化提出了一项全面提议，涵盖基础层和流行病学层。荷兰C-L精神病学联盟（NCCP）进行的2657次会诊数据以及对48份C-L报告的文献综述数据，用于说明情况并为一个大型数据库提供数据支持。综合医院和C-L服务的各种特征被视为基础信息，也就是说，应在每份C-L出版物中呈现。流行病学数据分为八组：社会人口统计学、转诊特征、病史、诊断、诊断建议、病房管理、出院及后续护理管理以及终止数据。最后，给出了定义和决策规则。
