Goldberg R J, Stoudemire A
Department of Psychiatry, Brown University, Rhode Island Hospital, Providence 02903, USA.
Gen Hosp Psychiatry. 1995 Jul;17(4):268-77. doi: 10.1016/0163-8343(95)00053-t.
There has been increasing recognition and documentation of the impact of psychiatric problems on the outcome and cost of medical care. Because consultation-liaison psychiatrists have the expertise to address the psychiatric aspects of medical illness, this group should be in a strong position to facilitate integration of medical and psychiatric services in managed care delivery systems. Although consultation-liaison psychiatry (CLP) has documented its ability to shorten inpatient medical lengths of stay for some disorders, a greater challenge exists in developing comprehensive systems to identify and care for patients with mental health problems in primary care settings. This paper reviews the fiscal and programmatic implications for managed medical care systems of findings from outcome-based C-L research. The future role of CLP and combined medical-psychiatric units in an era of managed care is also discussed.
精神疾病问题对医疗结果和成本的影响已得到越来越多的认识和记录。由于会诊联络精神科医生具备处理内科疾病精神方面问题的专业知识，因此该群体应处于有利地位，以促进管理式医疗服务体系中内科和精神科服务的整合。尽管会诊联络精神病学（CLP）已证明其有能力缩短某些疾病患者的住院内科住院时间，但在建立综合系统以识别和护理初级保健环境中存在心理健康问题的患者方面，仍存在更大的挑战。本文回顾了基于结果的会诊联络研究结果对管理式医疗系统的财政和规划影响。还讨论了会诊联络精神病学和联合内科 - 精神科单元在管理式医疗时代的未来作用。
