Title

Pattern of Referral to Psychiatric Consultation Services in Cancer Inpatients

Translated Titles

癌症住院患者精神科照會之轉介型態

DOI

10.6200/TCMJ.2005.2.6.08

Authors

陳錫中(Hsi-Chung Chen);廖士程(Shih-Cheng Liao);李宇宙(Yue-Joe Lee);張信義(Sidney S. Chang);李明濱(Ming-Been Lee)

Key Words

照會聯商精神醫學 ; 癌症 ; 精神腫瘤學 ; consultation-liaison psychiatry ; cancer ; psycho-oncology

PublicationName

北市醫學雜誌

Volume or Term/Year and Month of Publication

2卷6期(2005 / 06 / 01)

Page #

567 - 577

Content Language

英文

Chinese Abstract

Background and Purpose: The purpose of this study was to report the pattern of utilization of psychiatric consultations among Chinese cancer inpatients. Methods: A retrospective study was undertaken using the structured psychiatric consultation database of the National Taiwan University Hospital. Results: 819 referrals for psychiatric consultations were requested in five years, the referral rate (2.6%) was low. The most common psychiatric diagnoses were: organic mental disorders (42.7%). Early referral was associated with shorter hospital stay (r=.73, P<.01). Referral reasons of disturbing behavior and past history predicted the most common (organic mental disorders) and the most efficient (psychotic disorders) diagnostic groups of referrals, respectively. Conclusion: The findings suggest that referring physicians depend on disturbing psychopathology and past-established psychiatric diagnoses to refer patients. Active detection of emotional distress should be encouraged to ensure adequate and timely referrals.

English Abstract

Background and Purpose: The purpose of this study was to report the pattern of utilization of psychiatric consultations among Chinese cancer inpatients. Methods: A retrospective study was undertaken using the structured psychiatric consultation database of the National Taiwan University Hospital. Results: 819 referrals for psychiatric consultations were requested in five years, the referral rate (2.6%) was low. The most common psychiatric diagnoses were: organic mental disorders (42.7%). Early referral was associated with shorter hospital stay (r=.73, P<.01). Referral reasons of disturbing behavior and past history predicted the most common (organic mental disorders) and the most efficient (psychotic disorders) diagnostic groups of referrals, respectively. Conclusion: The findings suggest that referring physicians depend on disturbing psychopathology and past-established psychiatric diagnoses to refer patients. Active detection of emotional distress should be encouraged to ensure adequate and timely referrals.

Topic Category 醫藥衛生 > 醫藥衛生綜合