他科醫師의 精神科 諮問에 대한 期待度

Physicians’ Expectations to Psychiatric Consultation

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To investigate physicians’ expectations to the role of psychiatric consultation, the authors conducted 18-item questionnaire on 117 nonpsychiatric physicians of two university affiliated general hospitals (St. Mary’ s Hospital and Kang Nam St. Mary’ s Hospital) in Seoul. The results were as follows : 1) Physicians rated, in general, high scores on items related with ’ evaluation function’ and ’ direct service function’ of psychiatric consultation, whereas they rated low on ’ mediating function’ items. 2 ) ，Evaluate mental status’ , ’ Help physicians understand psychological aspects of a patient’ s illness’ ，9 Arrange to transfer patient to psychiatric ward，, ’ Evaluate psychogenesis，a n d ，Make suggestions about management of patient on the ward’ are those which phisicians valued most important of all 18 items. 3) There was a tendency that resident group manifested low item scores compared to faculty members, and items of ’ Arrange to transfer patient to psychiatric ward’ and ?Recommand additional diagnostic work-up’ showed significant difference in mean scores between groups. 4) Physicians in medical services showed significant high mean scores on items such as ’ Arrange to transfer patient to psychiatric ward’ , ’ Make suggestions about management of patient on the ward’ ，’ Evaluate psychogenesis’ and ’ Work with patient，s family’ as compared to surgeon group.