Barber R, Williams A S
Hillcrest Hospital, Adelaide, South Australia, Australia.
Aust N Z J Psychiatry. 1996 Apr;30(2):278-86. doi: 10.3109/00048679609076106.
To collect information on current working arrangements between general practitioners (GPs) and mental health professionals and to assess GPs' attitudes towards developing closer working practices with psychiatrists in the primary care setting.
Six hundred and three GPs from South Australia were surveyed with questionnaires. Main outcome measures included information about existing primary care links between GPs and mental health professionals, GPs' preferred working arrangements with psychiatrists in the primary care setting and their attitude towards developing these practices, including perceived obstacles, advantages and disadvantages.
One hundred and eighty-one completed questionnaires were returned. One in 11 GPs returning the questionnaire (RGPs) had established primary care links with a psychiatrist, 1 in 6 with clinical psychologists and 1 in 17 with psychiatric nurses and social workers. RGPs held positive attitudes towards developing closer links at their work settings with psychiatrists when it le8ads to improved collaboration and access to psychiatrists. Reservations were expressed about the public weakening of the GPs' primary care role.
The joint needs of clinical care and GPs' further training in psychiatry could be addressed by further development of schemes to attract psychiatrists to work in primary care settings. This is mostly viewed very positively by GPs, although the percentage of GPs responding make these conclusions tentative. It is more likely to occur with changes to current funding of both private psychiatric care and GP remuneration, with a recognition of time spent in liaison.
收集关于全科医生（GP）与精神卫生专业人员当前工作安排的信息，并评估全科医生对在初级保健环境中与精神科医生建立更紧密工作关系的态度。
对来自南澳大利亚的603名全科医生进行问卷调查。主要结果指标包括全科医生与精神卫生专业人员之间现有初级保健联系的信息、全科医生在初级保健环境中与精神科医生首选的工作安排以及他们对发展这些工作关系的态度，包括感知到的障碍、优点和缺点。
共收回181份完整问卷。在回复问卷的全科医生（RGP）中，每11人中有1人与精神科医生建立了初级保健联系，每6人中有1人与临床心理学家建立了联系，每17人中有1人与精神科护士和社会工作者建立了联系。当与精神科医生建立更紧密联系能改善合作并增加接触精神科医生的机会时，回复问卷的全科医生对在工作场所与精神科医生建立更紧密联系持积极态度。他们对全科医生初级保健角色在公众层面被削弱表示保留意见。
通过进一步制定吸引精神科医生到初级保健环境工作的计划，可以满足临床护理和全科医生在精神病学方面进一步培训的共同需求。尽管回复问卷的全科医生比例使这些结论具有一定的不确定性，但全科医生大多对此持非常积极的看法。随着目前私人精神科护理资金和全科医生薪酬的变化，并认识到联络工作所花费的时间，这种情况更有可能发生。
