Phillips N, Dennerstein L, Farish S
Mercy Hospital for Women, East Melbourne, Victoria.
Aust N Z J Psychiatry. 1996 Feb;30(1):82-9. doi: 10.3109/00048679609076075.
Recently we described the establishment and first 6 months of a psychiatric consultation-liaison service to a Melbourne obstetric-gynaecology teaching hospital. The follow-up report evaluates the service in two ways: first, it compares referral data for the 12 months of 1992 with that of the first 6 months of operation in 1990; and second, it reports on results of a survey of referrer and patient satisfaction with the service.
Referral data were collected for the data comparison from the consultation-liaison referral book and patients' files. Referrer and patient satisfaction was evaluated by questionnaires sent to 45 medical staff, 7 charge nurses, and 100 consecutive patients.
A fairly constant referral rate for inpatients has emerged at 0.8%, this very low referral rate being some cause for concern. An internal shift in the type of referrals over time has developed, with an increase in obstetric and a decrease in gynaecology referrals. High referrer satisfaction, with 86% of the doctors finding the consultation(s) "very" or "quite" helpful, and high patient satisfaction, with 83% of respondents having found the consultation(s) "very" or "quite" helpful, was found.
Despite high referrer and consumer satisfaction, and objective evidence of need, this pioneering consultation-liaison service in obstetric-gynaecology continues to be grossly under-utilised. Increasing the referral rate will be one of the greatest challenges in the future of this service.
最近我们描述了墨尔本一家妇产科教学医院精神科会诊-联络服务的建立情况及最初6个月的运营情况。这份后续报告从两个方面对该服务进行评估：第一，将1992年全年的转诊数据与1990年运营最初6个月的数据进行比较；第二，报告转诊医生和患者对该服务满意度调查的结果。
从会诊-联络转诊登记簿和患者档案中收集用于数据比较的转诊数据。通过向45名医务人员、7名护士长和100名连续就诊患者发放问卷来评估转诊医生和患者的满意度。
住院患者的转诊率一直相当稳定，为0.8%，如此低的转诊率令人有些担忧。随着时间的推移，转诊类型出现了内部变化，产科转诊增加，妇科转诊减少。结果发现转诊医生满意度较高，86%的医生认为会诊“非常”或“相当”有帮助；患者满意度也较高，83%的受访者认为会诊“非常”或“相当”有帮助。
尽管转诊医生和患者满意度较高，且有客观的需求证据，但这家妇产科开创性的会诊-联络服务仍未得到充分利用。提高转诊率将是该服务未来面临的最大挑战之一。
