Hall R C, Frankel B L
Florida Hospital Center for Psychiatry, Orlando 32803, USA.
Psychiatr Serv. 1996 Apr;47(4):418-20. doi: 10.1176/ps.47.4.418.
Changes in health care funding have greatly enhanced the value of consultation-liaison services to their parent hospitals. This paper reviews representative studies showing that consultation-liaison interventions improve patient care, enhance patients' satisfaction with treatment, and reduce polypharmacy, adverse drug reactions, and subsequent hospitalizations. Reductions in costs of hospitalization realized by consultation-liaison interventions are also described, including average reductions in hospital stays of one to one and a half days, upgrades in diagnosis-related group (DRG) codes, and timely patient transfers to inpatient medical-psychiatric units or inpatient psychiatric facilities. These data suggest that consultation-liaison services will become increasingly important over the next few years.
医疗保健资金的变化极大地提升了会诊-联络服务对其所属医院的价值。本文回顾了一些具有代表性的研究，这些研究表明会诊-联络干预措施可改善患者护理、提高患者对治疗的满意度，并减少多重用药、药物不良反应及后续住院情况。文中还描述了会诊-联络干预措施所实现的住院费用降低情况，包括平均住院天数减少一至一天半、诊断相关分组（DRG）编码升级，以及患者及时转至住院医疗-精神科病房或住院精神科设施。这些数据表明，会诊-联络服务在未来几年将变得越来越重要。
