Brantley P J, Veitia M C, Callon E B, Buss R R, Sias C R
Fam Med. 1986 Nov-Dec;18(6):351-4.
The effects of brief psychological intervention on rates of medical utilization were investigated in a family practice clinic. Patients referred to the psychology service served as experimental subjects. These subjects underwent psychological assessment and treatment from supervised clinical psychology externs in joint working arrangements with family practice residents. Control subjects were other family practice patients, matching the experimental group in age, sex, and race. The number of medical visits to the family practice clinic, specialty clinics, and the emergency room were the dependent measures. The study period was two years. Results indicated that the experimental subjects were more likely than control subjects to decrease medical utilization of the family practice clinic. The findings are consistent with earlier work showing an association between brief psychosocial intervention and decreases in the frequency of clinic visits. However, this study suggests that preinternship-level clinical psychology trainees can be equally as effective in providing this intervention as mental health professionals who have completed their training.
在一家家庭医疗诊所中，研究了简短心理干预对医疗利用率的影响。被转介到心理服务部门的患者作为实验对象。这些对象在与家庭医疗住院医师的联合工作安排中，接受了由受监督的临床心理学实习生进行的心理评估和治疗。对照对象是其他家庭医疗患者，在年龄、性别和种族方面与实验组相匹配。前往家庭医疗诊所、专科诊所和急诊室的就诊次数为相关测量指标。研究期为两年。结果表明，与对照对象相比，实验对象更有可能降低对家庭医疗诊所的医疗利用率。这些发现与早期的研究结果一致，早期研究表明简短的社会心理干预与门诊就诊频率降低之间存在关联。然而，这项研究表明，实习前水平的临床心理学实习生在提供这种干预方面可以与完成培训的心理健康专业人员同样有效。
