Wallen J, Pincus H A, Goldman H H, Marcus S E
Arch Gen Psychiatry. 1987 Feb;44(2):163-8. doi: 10.1001/archpsyc.1987.01800140073010.
We investigated the use of psychiatric consultations in short-term general hospitals using a national sample of 327 hospitals and examining the hospital experience of approximately 263,000 patients discharged from these hospitals. We found that the demographic characteristics of patients receiving psychiatric consultations in the national sample were roughly similar to those reported for patients receiving consultations in earlier, single-hospital studies. Rates of consultation were considerably lower, however: 0.9%, compared with a median rate of 3.3% reported in the literature. We also found that patients receiving psychiatric consultations used more hospital resources than other patients.
我们利用一个包含327家医院的全国性样本,对短期综合医院中精神科会诊的使用情况进行了调查,并研究了这些医院约26.3万名出院患者的住院经历。我们发现,全国性样本中接受精神科会诊的患者的人口统计学特征与早期单家医院研究中报告的接受会诊的患者大致相似。然而,会诊率要低得多:为0.9%,而文献中报告的中位数为3.3%。我们还发现,接受精神科会诊的患者比其他患者使用了更多的医院资源。