McIntyre J S, Romano J
Arch Gen Psychiatry. 1977 Oct;34(10):1147-51. doi: 10.1001/archpsyc.1977.01770220029002.
A survey was conducted in Rochester, NY, of the attitudes and practices of psychiatrists (both in private practice and fulltime academic settings), psychiatric residents, internists, and fourth-year medical students concerning physical examinations of psychiatric patients. Thirteen percent of the psychiatrists frequently perform an initial physical examination on their inpatients and 8% frequently do an initial physical examination on their outpatients. These percentages are much larger for the resident groups. A very high percentage of all respondents report that they feel a physical examination of psychiatric patients is important especially when the patient is receiving medication. The largest number of psychiatrists report that they omit the physical examination because the patient has been referred to them after a physical examination by another physician or they refer the patient for such an examination. A notable percentage of psychiatrists in this sample report that they do not feel competent performing a physical examination.
在纽约州罗切斯特市，针对精神科医生（包括私人执业和全职学术机构的医生）、精神科住院医师、内科医生以及四年级医学生对精神科患者进行体格检查的态度和做法展开了一项调查。13%的精神科医生经常对住院患者进行初次体格检查，8%的精神科医生经常对门诊患者进行初次体格检查。住院医师群体的这些比例要高得多。所有受访者中，有很高比例的人表示，他们认为对精神科患者进行体格检查很重要，尤其是在患者正在接受药物治疗时。大多数精神科医生表示，他们不进行体格检查是因为患者已经在另一位医生处接受过体格检查后被转介给他们，或者他们会将患者转去进行此类检查。该样本中有相当比例的精神科医生表示，他们觉得自己没有能力进行体格检查。
