Steinberg H, Torem M, Saravay S M
Arch Gen Psychiatry. 1980 Sep;37(9):1007-12. doi: 10.1001/archpsyc.1980.01780220045004.
Although it has been estimated that between 30% and 60% of hospital patients have an emotional problem related to and sometimes affecting the course of their hospitalization, psychiatric consultations for such patients are rarely requested. We conducted chart rounds with house and nursing staffs to identify those patients with prominent psychiatric problems relating to hospitalization. It was found that physician resistance to consultation was involved in more than 50% of cases not referred, usually because the physicians believed that there was no psychiatric problem or that psychiatry could not help, and less often because the physician thought that the patient might become upset or the patient-doctor relationship would be destroyed. The basis of the physicians' resistance was found not justified in 26 of 29 patients seen, and 23 of these patients were judged to have been helped by the psychiatrist.
尽管据估计，30%至60%的住院患者存在与住院相关且有时会影响其住院过程的情绪问题，但很少有人要求为这类患者进行精神科会诊。我们与住院医师和护理人员一起进行病历查房，以确定那些存在与住院相关的突出精神问题的患者。结果发现，在超过50%未被转诊的病例中，存在医生抵制会诊的情况，通常是因为医生认为不存在精神问题或精神科无法提供帮助，较少的情况是因为医生认为患者可能会心烦意乱或医患关系会被破坏。在看过的29名患者中，发现26名患者的医生抵制会诊的理由不合理，其中23名患者被判定得到了精神科医生的帮助。
