Rowe C J, Billings R F, Pohlman E R, Silver I L
Department of Psychiatry, Sunnybrook Hospital, Toronto, Ontario.
Can J Psychiatry. 1988 May;33(4):294-8. doi: 10.1177/070674378803300412.
As Consultation-Liaison Services continue to develop and expand in general hospitals, psychiatrists must be aware of pitfalls and pratfalls inherent in dealing with medical colleagues and other allied health professionals, as well as with the patients. Practical considerations in answering consultation requests are discussed with respect to "hidden agendas" of the consultee, role and expectations of the psychiatrist, and problem referrals. It is only through mutual respect and collaboration that Consultation-Liaison Services can truly be effective.
随着综合医院的会诊-联络服务不断发展和扩大,精神科医生必须意识到在与医学同事、其他相关健康专业人员以及患者打交道时所固有的陷阱和失误。本文讨论了在回应会诊请求时的实际考量,涉及会诊者的“隐藏议程”、精神科医生的角色和期望以及问题转诊。只有通过相互尊重与合作,会诊-联络服务才能真正发挥作用。