Rand E H, Thompson T L
Department of Psychiatry, University of Alabama School of Medicine-Tuscaloosa Program 35487-0326, USA.
Psychosomatics. 1997 Mar-Apr;38(2):140-7. doi: 10.1016/S0033-3182(97)71483-X.
The focus of efforts to improve primary care physicians' recognition and treatment of psychiatric conditions has been on enhancing the content of their education, with little attention paid to the choice of models through which the content is delivered. The authors believe that existing models of primary care delivery are analogous to Strain's six basic models of teaching psychiatry to primary care physicians. Each model is especially suited to a particular segment of the primary care physician's education; for example, the consultation model has relevance for teaching about better management of identified patients and the bridge model for enhancing recognition of unrecognized disorders. All six models have a place in both education and practice.
改善初级保健医生对精神疾病的识别和治疗的努力重点一直放在提高其教育内容上，而很少关注传递这些内容的模式选择。作者认为，现有的初级保健服务模式类似于斯特林向初级保健医生教授精神病学的六种基本模式。每种模式都特别适合初级保健医生教育的特定部分；例如，咨询模式与教授已确诊患者的更好管理相关，而桥梁模式则与提高对未被识别疾病的认识相关。所有六种模式在教育和实践中都有一席之地。
