von Gunten A, Villoz F
Policlinique Universitaire de Psychogériatrie et Consultation de la Mémoire, Lausanne.
Rev Med Suisse Romande. 1998 Jun;118(6):577-82.
Quality assessment in consultation and liaison psychiatry (CLP) is extremely difficult and must take into account numerous factors. The general practitioner (GP) of the patients seen by CL psychiatrists seems an essential factor to be considered in evaluating CL work. However, as far as we know, no study is doing so. Therefore, we have implied the GP to assess our CL work at the hospital St-Loup-Orbe.
We put up a qualitative study consisting of semi-structured interviews with 18 GPs caring for 45 patients having been submitted to a psychiatric CL intervention. Furthermore, we invited the GPs to assesses CLP as a specialization as well as CLP practiced at St-Loup-Orbe hospital.
Impact is judged by the GPs with regard to the total number as: highly favorable> favorable> indifferent> negative. The GPs' critiques, whether positive or negative, are highly informative.
GPs accept favorably CLP interventions and consider them on the whole as constructive. On the other hand, they are not sufficiently considered as partners during their patients' hospital stay. Furthermore, CLP must evaluate its impact at distance from the consultation and take into account the GPs' assessments to improve CL quality.
会诊联络精神病学（CLP）中的质量评估极其困难，必须考虑众多因素。CL精神科医生所诊治患者的全科医生（GP）似乎是评估CL工作时需要考虑的一个重要因素。然而，据我们所知，尚无研究这样做。因此，我们邀请了全科医生对我们在圣卢 - 奥尔贝医院的CL工作进行评估。
我们开展了一项定性研究，包括对18位全科医生进行半结构式访谈，这些全科医生负责照护45位接受过精神科CL干预的患者。此外，我们邀请全科医生对CLP作为一个专业领域以及在圣卢 - 奥尔贝医院开展的CLP进行评估。
全科医生根据总数判断影响程度为：非常有利＞有利＞无动于衷＞负面。全科医生的批评，无论是正面还是负面，都极具参考价值。
全科医生对CLP干预持积极态度，总体上认为它们具有建设性。另一方面，在患者住院期间，他们未被充分视为合作伙伴。此外，CLP必须在远离会诊的情况下评估其影响，并考虑全科医生的评估以提高CL质量。
