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[Primary/psychiatry interconsultation care: use of the single consultation]
J García-Campayo1, C Sanz-Carrillo, A Jimeno Aranda
1Hospital Clínico Universitario, Centro de Salud Delicias Sur, Zaragoza.
Objective:
To study the use of single consultation in Primary Care/Psychiatry liaison.
Design:
A retrospective study. SITE. Outpatients psychiatry department. Hospital Clínico Universitario. Zaragoza.
Patients Or Others Participants:
200 consecutive referrals.
Period:
June-December 1992.
Measurements And Main Results:
GP does not report psychiatric symptoms in 24% of cases. If he reports it, describes significatively between GP and psychiatrist. There are important differences in relation to diagnosis: psychiatrist tend to diagnose less than GP Depression but uses more Dysthymia and Adjustment Disorder. 20% of patients referred to the psychiatrist are not considered psychiatric cases. GP ask for single consultation in 35% of patients, but psychiatrist discharges back to GP only 15% of cases.
Conclusions:
Primary Care/Psychiatry liaison should be improved. GP should clearly explain the amount of clinical responsibility they want to be involved in. Psychiatrists should asses more frequently the possibility of single consultation.
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