Weingarten M, Granek M
Kupat Holim Clalit Geha Hospital, Sackler Faculty of Medicine, Tel Aviv University, Israel.
Isr J Psychiatry Relat Sci. 1998;35(2):81-8.
An analysis is presented of the experience of a psychiatric liaison team that visited one primary care community health center on a monthly basis for 14 years. The content of the liaison changed character over time, starting as a teaching relationship and developing successively into case discussions, tripartite consultations with joint interviews, a satellite psychiatric clinic, a Balint group, observation of routine general practice consultations and, finally joint assessments of video-tapes of routine consultations. The primary care team of nurses and doctors developed insight into the complexities of their relationships with each other and with their patients. The psychiatric team developed a more holistic view of psychological distress in the community and of the therapeutic potential of routine primary care. The patient population benefited from the improved accessibility of psychiatric care and from the increased psychological sensitivity of their doctors and nurses.
本文分析了一个精神科联络团队的经验，该团队在14年的时间里每月访问一个初级保健社区健康中心。联络的内容随着时间的推移而发生变化，最初是一种教学关系，随后依次发展为病例讨论、联合访谈的三方咨询、卫星精神科诊所、巴林特小组、对常规全科诊疗咨询的观察，最后是对常规诊疗录像带的联合评估。护士和医生组成的初级保健团队对他们彼此之间以及与患者关系的复杂性有了更深入的了解。精神科团队对社区心理困扰的整体情况以及常规初级保健的治疗潜力有了更全面的认识。患者群体受益于精神科护理可及性的提高以及医生和护士心理敏感度的增强。
