Mendelson G
Aust N Z J Psychiatry. 1984 Sep;18(3):211-6. doi: 10.3109/00048678409161293.
Cost-containment of medical care has become of increasing importance to both medical administrators and politicians. Recently, studies have examined the impact of psychological and psychiatric treatments on medical care utilisation and hospitalisation rates and the cost-effectiveness of such treatments. These studies have demonstrated that interventions based on a consideration of psychosocial factors in physical illness are effective in reducing the morbidity, and mortality, of a wide range of illnesses and that they lead to reduced medical care utilisation and a lower rate of hospital treatment. It has also been demonstrated that holistic management based on the 'biopsychosocial' model of illness is cost-effective and that there is an overall reduction of expenditure after allowing for the cost of the psychological or psychiatric treatment. It is concluded that further development of consultation-liaison psychiatry should be encouraged to promote awareness of the influence of psychosocial factors on physical illness and their early management as both clinically important and cost-effective.
医疗成本控制对医疗管理人员和政治家而言都变得愈发重要。最近，研究探讨了心理和精神治疗对医疗服务利用及住院率的影响，以及此类治疗的成本效益。这些研究表明，基于对躯体疾病中心理社会因素的考量而进行的干预，在降低多种疾病的发病率和死亡率方面是有效的，并且会减少医疗服务利用及降低住院治疗率。还表明基于疾病“生物心理社会”模型的整体管理具有成本效益，且在计入心理或精神治疗成本后总体支出有所减少。结论是应鼓励进一步发展会诊联络精神病学，以提高对心理社会因素对躯体疾病的影响及其早期管理的认识，因为这在临床和成本效益方面都很重要。
