Koran L M, Van Natta J, Stephens J R, Pascualy R
JAMA. 1979 Apr 13;241(15):1603-5.
Physicians are often concerned that patients will resent a request for psychiatric consultation. To investigate this problem, 60 patients undergoing psychiatric consultation in a general hospital were inverviewed 24 hours after the consultation. Nearly two thirds of these patients believed that the consultation was beneficial. Patients' attitudes were independent of their demographic characteristics, reason for referral, and hospital service involved. Patients with long-term illnesses more often had positive attitudes than patients with short-term illnesses. Patients who were initially hostile or ambivalent usually had positive attitudes 24 hours later. Substance abusers and patients who denied clearly recognizable psychiatric disorders often did not value the consultation. Even so, their physicians frequently believed that the consultation was useful. We attribute the positive attitudes of patients in our study largely to the referring physicians' preparing them for psychiatric consultation.
医生常常担心患者会反感进行精神科会诊的要求。为了调查这个问题，对一家综合医院中60名接受精神科会诊的患者在会诊后24小时进行了访谈。这些患者中近三分之二认为会诊是有益的。患者的态度与其人口统计学特征、转诊原因及所涉及的医院科室无关。患有长期疾病的患者比患有短期疾病的患者更常持积极态度。最初怀有敌意或态度矛盾的患者通常在24小时后会持积极态度。药物滥用者和否认明显可识别精神障碍的患者往往不重视会诊。即便如此，他们的医生常常认为会诊是有用的。我们将研究中患者的积极态度主要归因于转诊医生让他们为精神科会诊做好了准备。
