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[转诊患者:对象、方式、时间及原因?与初级卫生保健相关的精神病学]

[Referring a patient: who, how, when and why? Psychiatry in relation to primary health care].

作者信息

Sarmento C M

机构信息

Departamento de Psiquiatria e Saúde Mental, Hospital S. Francisco Xavier, Lisboa.

出版信息

Acta Med Port. 1997 May;10(5):339-44.

PMID:9312977
Abstract

After a theoretical review of liaison psychiatry, a descriptive and comparative study of all referrals from two general practitioner's surgeries to a hospital outpatient clinic is performed. A model of liaison psychiatry in general practice is studied and its impact is comparatively assessed according to some socio-demographic and clinical variables. A sample of 81 referrals to a hospital outpatient clinic by general practitioners was examined. Some differences between the two populations (with statistical significance) are presented: the age and sex influence in the referral process, duration of symptoms, presented problems, suggestion of referral, time between first contact (first healer) and the outpatient referral and between the GP consultation and referral, previous treatment and number of total psychiatric outpatient referrals. The results, their implications and consequences, are considered and discussed for the development of an effective liaison between primary and secondary care.

摘要

在对联络精神病学进行理论综述之后,对两家全科医生诊所转介至一家医院门诊的所有病例进行了描述性和对比性研究。研究了全科医疗中的联络精神病学模式,并根据一些社会人口统计学和临床变量对其影响进行了对比评估。对全科医生转介至医院门诊的81个病例样本进行了检查。呈现了两组人群之间的一些差异(具有统计学意义):年龄和性别对转介过程的影响、症状持续时间、所呈现的问题、转介建议、首次接触(首位治疗者)与门诊转介之间以及全科医生会诊与转介之间的时间、既往治疗情况以及精神科门诊转介总数。为了在初级保健和二级保健之间建立有效的联络,对研究结果及其影响和后果进行了思考和讨论。

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Acta Med Port. 1997 May;10(5):339-44.
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