Kirstein L
Gen Hosp Psychiatry. 1979 Jul;1(2):134-8. doi: 10.1016/0163-8343(79)90059-8.
This paper illustrates the significance of one aspect of psychiatric consultation to questions of general hospital health care delivery. The contractual arrangements, implementation, and evaluation of a health care delivery program for nonprofessional hospital employees are presented. Changes in patients' perception of treatment were evaluated by random surveys of representative clinic and ward populations before and after this program was implemented. The program was evaluated by precourse-postcourse questionnaires completed anonymously by the hospital personnel group. The program was found to be successful in generating lists of major health care delivery problems and some possible solutions. The majority of personnel enjoyed and benefited from this program. A conceptual framework and implications of psychiatric consultation for problems of general health care delivery are discussed.
本文阐述了精神科会诊在综合医院医疗服务问题中的一个方面的重要性。介绍了一项针对非专业医院员工的医疗服务项目的合同安排、实施情况和评估。通过对该项目实施前后具有代表性的门诊和病房人群进行随机调查，评估患者对治疗认知的变化。该项目通过医院人员组匿名填写的课前-课后问卷进行评估。结果发现该项目成功地生成了主要医疗服务问题清单和一些可能的解决方案。大多数人员喜欢并从该项目中受益。讨论了精神科会诊对一般医疗服务问题的概念框架及影响。
