North C, Eminson M
Child and Family Consultation Service, North East Essex Mental Health NHS Trust, Clacton-on-Sea, United Kingdom.
Eur Child Adolesc Psychiatry. 1998 Dec;7(4):235-45. doi: 10.1007/s007870050072.
A review was carried out of the work of a liaison psychiatry service to a paediatric nephrology team over a 4 year period. Elements of the service included a monthly meeting between psychiatry staff and all disciplines in the nephrology team, direct referrals for assessment and treatment by the psychiatry team, and 'telephone advice'. Direct assessments of 38 cases were made; 20 had 2 or more follow-up appointments. Three methods of audit are presented: a review of psychiatric diagnosis with comparison of patients with chronic renal failure and those with other disorders associated with the renal tract, outcome and interventions, costing of intervention in two cases, and a 'consumer satisfaction' questionnaire to nephrology team members. Those responding to the questionnaire (13/21) valued the liaison service. Their comments particularly endorsed the monthly liaison meeting which provided an opportunity to review critically the management of long term and challenging cases.
对一个联络精神科服务机构在4年时间里与一个儿科肾脏病团队的合作进行了回顾。该服务内容包括精神科工作人员与肾脏病团队所有学科每月举行一次会议、精神科团队直接接受转诊以进行评估和治疗以及“电话咨询”。对38例病例进行了直接评估；其中20例患者有2次或更多次随访预约。介绍了三种审计方法：对精神病诊断进行回顾，将慢性肾衰竭患者与其他与泌尿道相关疾病的患者进行比较、评估结果和干预措施、对两例干预措施进行成本核算，以及向肾脏病团队成员发放一份“消费者满意度”调查问卷。对问卷做出回应的人（13/21）对联络服务给予了肯定。他们的评论特别认可每月的联络会议，该会议为严格审查长期且具有挑战性病例的管理提供了机会。
