Wright M, Samuels A, Streimer J
Department of Liaison Psychiatry, Prince of Wales Hospital, Randwick, New South Wales, Australia.
Aust N Z J Psychiatry. 1996 Apr;30(2):238-45. doi: 10.3109/00048679609076100.
To overview and highlight the issues currently challenging and confronting consultation-liaison (C-L) psychiatry and to present them for discussion in a wider forum.
Following preliminary discussions, the authors (members of the New South Wales C-L Interest Group) undertook to selectively review a number of issues relevant to C-L psychiatry. A preliminary paper was prepared and then presented to the membership of the interest group. Feedback from this meeting was incorporated into the final version of the paper.
Issues selected as a nidus for further discussion include economic issues, changing models of C-L practice, service issues as well as ethical, issues. In addition, recognition of C-L psychiatry as a true subspeciality is foreshadowed.
This paper highlights some of the challenges for C-L psychiatry both now and in the future. Intuitive beliefs in our efficacy will not suffice in this era of economic rationalisation. Disciplined and focused research substantiating our value is imperative. Subspeciality recognition is likely to ensure uniformity of standards as well as providing the structure and direction required to consolidate C-L psychiatry's future.
概述并强调当前咨询联络（C-L）精神病学面临的挑战及问题，并在更广泛的论坛上进行讨论。
经过初步讨论，作者（新南威尔士州C-L兴趣小组的成员）着手选择性地回顾一些与C-L精神病学相关的问题。撰写了一篇初步论文，然后提交给兴趣小组的成员。此次会议的反馈被纳入论文的最终版本。
选为进一步讨论核心的问题包括经济问题、C-L实践模式的变化、服务问题以及伦理问题。此外，预示着C-L精神病学将被认可为一个真正的亚专业。
本文强调了C-L精神病学现在和未来面临的一些挑战。在这个经济合理化的时代，仅凭对我们疗效的直观信念是不够的。进行严谨且有针对性的研究以证实我们的价值至关重要。亚专业认可可能会确保标准的统一，并为巩固C-L精神病学的未来提供所需的架构和方向。
