Mahneke T, Dragsted V, Jensen P S, Larsen S B, Meidahl B, Rosenbaum B
Roskilde Amts Sygehus Fjorden.
Ugeskr Laeger. 1993 May 10;155(19):1464-8.
This article describes the results of a one year follow-up investigation of patients suffering from psychiatric and mental diseases and psycho-social problems who were seen in general practice or by private practising psychiatrists and the psychiatric outpatient hospital clinic in a Danish county. 40-50% of the patients concluded treatment within the first year. The general practitioner and the private practising psychiatrist saw 10% of the patients more than 13 times. In the outpatient hospital clinic, 10% of the patients were seen more than 29 times. A psychotherapeutic approach to treatment was employed for 54-90% of the cases. Psychopharmacological medication was administered to 54-60% of the patients. Where patients in general practice and in the outpatient clinic were concerned, treatment in an emergency open unit and treatment in sheltered environments was required and supervision was necessary for 1/4 of the cases. The investigation demonstrates the role of the general practitioner in treatment and referral. After one year 25% of the patients were referred for other treatment. The general practitioner, private practicing psychiatrist and outpatient clinic treat different groups of psychiatric patients and work somewhat independently of one another.
本文描述了对患有精神疾病、心理疾病和心理社会问题的患者进行为期一年的随访调查结果，这些患者来自丹麦一个县的普通诊所、私人执业精神科医生以及精神病门诊医院。40%至50%的患者在第一年内结束了治疗。全科医生和私人执业精神科医生诊治的患者中有10%就诊次数超过13次。在门诊医院，10%的患者就诊次数超过29次。54%至90%的病例采用了心理治疗方法。54%至60%的患者接受了精神药物治疗。就普通诊所和门诊的患者而言，四分之一的病例需要在紧急开放病房治疗、在庇护环境中治疗以及进行监督。该调查表明了全科医生在治疗和转诊方面的作用。一年后，25%的患者被转诊接受其他治疗。全科医生、私人执业精神科医生和门诊各自治疗不同群体的精神科患者，且彼此之间的工作在一定程度上相互独立。
