Borson S, Liptzin B, Nininger J, Rabins P
Psychiatry Service, Seattle VA Medical Center, WA 98108.
Am J Psychiatry. 1987 Nov;144(11):1412-8. doi: 10.1176/ajp.144.11.1412.
In the last two decades, nursing homes have become major providers of health services for the frail elderly. Despite ample evidence of need for specialized psychiatric services in the nursing home setting, the majority of patients who could benefit from such care do not receive it. The authors propose a fourfold role for the psychiatrist, encompassing clinical care, consultation, teaching, and research. Features of this role can be adapted to fee-for-service, community mental health center, and academic models of psychiatric practice.
在过去二十年中，疗养院已成为体弱老年人健康服务的主要提供者。尽管有充分证据表明疗养院环境中需要专门的精神科服务，但大多数能从这种护理中受益的患者并未得到。作者提出精神科医生应发挥四重作用，包括临床护理、会诊、教学和研究。这一角色的特点可适用于按服务收费、社区心理健康中心和精神科实践的学术模式。
