Bindman J, Johnson S, Wright S, Szmukler G, Bebbington P, Kuipers E, Thornicroft G
Institute of Psychiatry, London.
Br J Psychiatry. 1997 Aug;171:169-74. doi: 10.1192/bjp.171.2.169.
Communication between secondary and primary care is an important aspect of continuity of care. We investigated communication between general practitioners (GPs) and psychiatric teams about a representative group of patients with severe mental illness (SMI). We also sought views on GP involvement in care from the patients and their GPs.
One hundred patients with SMI were randomly selected from those under the care of two psychiatric sector teams in inner London. The patients and their GPs were interviewed.
GPs' knowledge about the care their patients received was limited. Most GPs perceived their role as providing physical care and prescribing. Few patients consulted GPs for mental health care. GPs perceived themselves as less involved in the care of Black Caribbean or Black African patients.
Considerable discontinuities of care between secondary and primary care were identified. GP involvement in the care of patients with SMI appears limited. Better communication is necessary if care is to be shared.
二级医疗与初级医疗之间的沟通是连续性医疗的一个重要方面。我们调查了全科医生（GP）与精神科团队之间就一组具有代表性的严重精神疾病（SMI）患者的沟通情况。我们还征求了患者及其全科医生对全科医生参与医疗护理的看法。
从伦敦市中心两个精神科部门团队所护理的患者中随机抽取100名患有严重精神疾病的患者。对患者及其全科医生进行了访谈。
全科医生对其患者所接受护理的了解有限。大多数全科医生认为他们的角色是提供身体护理和开处方。很少有患者因心理健康护理而咨询全科医生。全科医生认为自己较少参与加勒比黑人或非洲黑人患者的护理。
发现二级医疗与初级医疗之间存在相当大的医疗护理不连续性。全科医生对严重精神疾病患者护理的参与似乎有限。如果要共享护理，就需要更好的沟通。
