[Psychological consultation at a gynecologic clinic--a luxury or a necessity?].

The necessity for an integrated psychological care is proven by the example of the Psychological Ambulance in the University of Freiburg Women's Hospital. In 1993 387 out- or inpatients contacted the psychologist, mainly out of their own initiative. 819 consultations, each lasting for at least 45 minutes, were registered. Parameters influencing acceptance and implementation were as follows: formal qualification as well as medical and psychological competence of the staff; cooperation with the hospital physicians and other institutions providing psychosocial care. We found that further important is the integration within the hospital facilitated by the consultation-model plus the longterm perspective of the ambulance and its staff. Additional promotion of acceptance was generated by the informal recommendations among patients.