Fava G A, Wise T N, Molnar G, Zielezny M
Psychother Psychosom. 1985;43(4):194-201. doi: 10.1159/000287879.
A retrospective chart review of 600 general hospital patients, of whom 200 had been admitted to a medical-psychiatric unit, 200 to a conventional psychiatric unit and 200 to medical-surgical units, and for whom psychiatric consultation had been requested, disclosed significant differences in the patient populations of these services. The data suggest that consultation psychiatry and medical-psychiatric units serve two different subgroups of patients with combined physical and psychiatric illness. A comprehensive model of clinical psychosomatic medicine encompassing consultation psychiatry, liaison psychiatry, medical-psychiatric units and after-care medical-psychiatric clinics, is proposed.
对600名综合医院患者进行回顾性病历审查，其中200人入住了内科-精神科病房，200人入住了传统精神科病房，200人入住了内科-外科病房，这些患者均申请了精神科会诊，结果显示这些科室的患者群体存在显著差异。数据表明，会诊精神科和内科-精神科病房服务于患有躯体疾病和精神疾病的两个不同亚组患者。本文提出了一个涵盖会诊精神科、联络精神科、内科-精神科病房和出院后内科-精神科门诊的临床心身医学综合模型。
