Sederer L I, Ellison J, Keyes C
McLean Hospital, Belmont, MA 02178, USA.
Psychiatr Serv. 1998 Sep;49(9):1197-202. doi: 10.1176/ps.49.9.1197.
Most psychiatrists enter into a variety of professional relationships with other clinicians in which they prescribe medications or make recommendations about pharmacotherapy. This paper describes a set of guidelines for prescribing psychiatrists involved in consultation, collaboration, and supervision with other clinicians. The guidelines were developed by psychiatrists for the Harvard Risk Management Foundation. The terms consultation, collaboration, and supervision are defined, and the psychiatrist's roles and responsibilities in each type of arrangement are described. The guidelines limit consultation and collaboration to relationships with professionals who are licensed or credentialed. Based on the definitions, the paper describes a structure for working with other clinicians, which begins with a thorough assessment of the context and circumstances of the clinical situation. The guidelines strongly encourage structured communication among clinicians and with the patient and significant others, as well as clarification by clinicians of their respective responsibilities for treatment and follow-up.
大多数精神科医生会与其他临床医生建立多种专业关系，在这些关系中，他们会开具药物处方或就药物治疗提出建议。本文描述了一套针对参与与其他临床医生进行会诊、协作及督导的精神科开方医生的指导方针。这些指导方针由精神科医生为哈佛风险管理基金会制定。文中对会诊、协作和督导进行了定义，并描述了精神科医生在每种安排中的角色和职责。指导方针将会诊和协作限制在与有执照或资质的专业人员的关系中。基于这些定义，本文描述了一种与其他临床医生合作的架构，该架构始于对临床情况的背景和情形进行全面评估。指导方针强烈鼓励临床医生之间以及与患者和重要他人进行结构化沟通，同时明确临床医生各自在治疗和随访方面的责任。
