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首页> 外文期刊>International Journal of Integrated Care >Integration between general practice and mental health services in Italy: guidelines for consultation-liaison services implementation
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Integration between general practice and mental health services in Italy: guidelines for consultation-liaison services implementation

机译：意大利的全科医学与精神卫生服务相结合：咨询服务实施指南

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Purpose: This paper illustrates some guidelines for the implementation of Consultation-liaison services in contexts where GPs work alone. We present some activity data of our experience in the period 1999–2004 and a critical evaluation of what works and what does not work. Context: In Italy single-sited spontaneous initiatives of co-operation and integration between general practice and psychiatry have been implemented in many regions. Recently, the Italian Health Care Government has begun to encourage integration between primary and secondary care for the management of mental health. The Bologna Consultation-liaison Service opened in 1999 in one area. The service was first located in the Community Mental Health Centre and subsequently in a medical non-psychiatric outpatient service. In 2002, the services were implemented in the overall city area, and the Bologna Consultation-liaison Service had its own office in the centre of the town. Data source: Data have been collected by reviewing clinical charts. They include clinical (mental status examination, progress notes) and socio-demographic data, assessment scales that measure psychological distress and disability, reports for GPs, and consultation outcome. Conclusion: A consultation-liaison service like the one proposed in this paper could contribute to an efficient and fully-integrated collaborative management of common psychiatric disorders, reducing the use of mental health services.
机译：目的：本文阐述了在GP单独工作的情况下实施咨询服务的一些准则。我们提供了一些我们在1999年至2004年期间的经验的活动数据，以及对有效和无效的重要评估。背景：在意大利，许多地区都实施了单点自发性的全科医学与精神病学之间的合作与融合计划。最近，意大利卫生保健政府已开始鼓励初级保健和二级保健之间的整合，以管理精神卫生。博洛尼亚咨询联络处于1999年在一个地区开业。该服务首先位于社区心理健康中心，随后又位于非精神病医疗门诊。 2002年，该服务在整个城市区域中实施，博洛尼亚咨询联络处在镇中心设有自己的办公室。数据来源：数据已通过检查临床图表收集。它们包括临床（心理状态检查，进度记录）和社会人口统计学数据，衡量心理困扰和残疾的评估量表，全科医生的报告以及咨询结果。结论：像本文中所建议的那样的咨询联络服务可以有助于对常见的精神疾病进行有效且完全集成的协作管理，从而减少对精神卫生服务的使用。

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