Fink P J
Hosp Community Psychiatry. 1985 Aug;36(8):870-5. doi: 10.1176/ps.36.8.870.
The author discusses problems that have hindered active collaboration between psychiatrists and primary care physicians, presents models for clinical interaction between them, and describes the role of psychiatrists in the education of primary care physicians. He identifies the differing models of psychiatric and physical medicine as the source of the poor communication that has existed between the two specialties and advocates adherence to a biopsychosocial model as a means of fostering collaboration. He concludes that the psychiatrist can best serve as a teacher and consultant to the primary care physician and as a specialist dealing with serious mental and emotional problems that are beyond the skill of the primary care physician.
作者讨论了阻碍精神科医生与初级保健医生积极合作的问题,提出了他们之间临床互动的模式,并描述了精神科医生在初级保健医生教育中的作用。他指出精神医学和物理医学的不同模式是这两个专业之间存在沟通不畅的根源,并主张坚持生物心理社会模式作为促进合作的一种手段。他得出结论,精神科医生最适合担任初级保健医生的教师和顾问,以及处理超出初级保健医生技能范围的严重精神和情感问题的专家。