Strain J J, Hamerman D
Ann Intern Med. 1978 Apr;88(4):550-5. doi: 10.7326/0003-4819-88-4-550.
Ombudsmen rounds conducted jointly by a medical attending physician (ombudsman) and a psychiatrist bring the entire staff on each of the medical wards of Montefiore Hospital together weekly. An attempt is made to address both staff and patient needs on an inpatient medical service. Through group discussions and patient interviews, in which the patient has an opportunity to express his own feelings about his illness and his care, the staff becomes aware of the psychosocial issues that are universally evoked by illness and hospitalization. All staff members are also encouraged to relate their reactions to the patient and their interactions with each other. The ombudsmen-rounds concept maximizes the use of the internist and liaison psychiatrist, and makes psychosocial-medical teaching routine on the medical service in a contemporary teaching hospital where the practice of holistic medicine has been so difficult to implement.
由主治医生(监察员)和精神科医生共同开展的监察员查房活动,每周会将蒙特菲奥里医院各内科病房的全体工作人员召集到一起。此举旨在满足住院医疗服务中工作人员和患者的需求。通过小组讨论和患者访谈(患者有机会表达自己对疾病及治疗护理的感受),工作人员能够意识到疾病和住院普遍引发的心理社会问题。同时,所有工作人员也被鼓励分享他们对患者的反应以及彼此之间的互动情况。监察员查房这一理念充分利用了内科医生和联络精神科医生的作用,使心理社会医学教学在一家难以实施整体医学实践的当代教学医院的医疗服务中成为常规。