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[德美两国的精神科顾问医生评估他们的职能。对会诊精神病学质量改进的一项贡献]

[German and American consultant psychiatrists evaluate their function. A contribution to quality improvement in consultation psychiatry].

作者信息

Rothermundt M, Arolt V, Levy N B

机构信息

Klinik für Psychiatrie, Medizinische Universität zu Lübeck.

出版信息

Nervenarzt. 1997 Sep;68(9):735-41. doi: 10.1007/s001150050188.

DOI:10.1007/s001150050188
PMID:9411276
Abstract

There is an increasing interest in scientific and practical aspects of C/L psychiatry in Germany. The every day C/L work in Germany still differs substantially from the American one. In contrast to Germany and other European countries, C/L psychiatry in the USA has developed into a subspecialty with multiple activities in research and patient care during the last 3 decades. This study was conducted in Germany and the USA in order to evaluate and compare the training and patient care in C/L psychiatry, as assessed by consultants doing the every day C/L work. 227 C/L psychiatrists participated in the study in both countries. There are significant differences in theoretical and practical C/L psychiatry is obviously more comprehensive. American C/L psychiatrists take more time for consultations, do more follow-ups, and more frequently organize psychiatric or psychotherapeutic outpatient after-care. These results are suited to support activities to improve quality in Germany C/L psychiatry.

摘要

在德国,人们对临床与法律精神病学的科学及实践方面的兴趣与日俱增。德国日常的临床与法律工作仍与美国的有很大不同。与德国及其他欧洲国家不同,在过去三十年里,美国的临床与法律精神病学已发展成为一个在研究和患者护理方面有多种活动的亚专业。这项研究在德国和美国开展,目的是评估和比较临床与法律精神病学方面的培训及患者护理情况,由从事日常临床与法律工作的顾问进行评估。两国共有227名临床与法律精神病医生参与了该研究。在理论和实践方面存在显著差异,美国的临床与法律精神病学显然更全面。美国的临床与法律精神病医生进行咨询的时间更多,进行更多随访,并且更频繁地组织精神科或心理治疗门诊后续护理。这些结果有助于支持德国临床与法律精神病学领域提高质量的活动。

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