Mayou R, Smith E B
Br J Psychiatry. 1986 Feb;148:194-7. doi: 10.1192/bjp.148.2.194.
Psychological and social difficulties are common amongst both medical and surgical patients, but psychiatrists are able to see only a very small proportion, and though hospital doctors have the main responsibility for psychological treatment, very little is known of what they actually do. Physicians and surgeons in Oxford answered a questionnaire on their attitudes and clinical practice: virtually all believed that emotional care is important, but what they do and what they would like to do in the assessment, treatment, and referral of their patients varied widely. There were associations with the extent of responsibility for chronic care, speciality, and seniority.
心理和社会方面的困难在内科和外科患者中都很常见，但精神科医生只能诊治其中很小一部分患者。尽管医院医生对心理治疗负有主要责任，但对于他们实际的治疗方式却知之甚少。牛津大学的内科医生和外科医生回答了一份关于他们的态度和临床实践的问卷：几乎所有人都认为情感关怀很重要，但他们在对患者进行评估、治疗和转诊时实际所做的以及他们希望做的事情却差异很大。这与对慢性病护理的责任范围、专业领域和资历有关。
