CAO Jinya, DUAN Yanping, WEI Jing. Resident-attending-professor Rounds of Consultation-liaison Psychiatry Service to Provide the Hospitalized Care of Psychiatric Comorbidities of General Hospital Inpatients[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 18-21. DOI: 10.12290/xhyxzz.2022-0578
Citation: CAO Jinya, DUAN Yanping, WEI Jing. Resident-attending-professor Rounds of Consultation-liaison Psychiatry Service to Provide the Hospitalized Care of Psychiatric Comorbidities of General Hospital Inpatients[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 18-21. DOI: 10.12290/xhyxzz.2022-0578

Resident-attending-professor Rounds of Consultation-liaison Psychiatry Service to Provide the Hospitalized Care of Psychiatric Comorbidities of General Hospital Inpatients

Funds: 

Capital Medical Development Research Fund 2022-2-4012

More Information
  • Corresponding author:

    WEI Jing, E-mail: weijing@pumch.cn

  • Received Date: October 06, 2022
  • Accepted Date: December 08, 2022
  • Available Online: December 25, 2022
  • Issue Publish Date: January 29, 2023
  • There is a high prevalence of psychiatric comorbidity in general hospital inpatients of various physical departments. Psychiatric comorbidity may result in the difficulty in clinical communication, longer hospitalization, worse clinical outcomes and higher costs. However, psychiatric comorbidities are often neglected and left untreated. We believe this phenomenon is caused by complex problems including, but not limited to, insufficient recognition, insufficient invitation for consultation, clinical challenge of complex multiple-comorbidi-ties, and insufficient treatment. To address these problems, we developed consultation-liaison psychiatry system of resident-attending-professor rounds with fixed follow-ups to provide standardized care to general hospital inpatients with psychiatric comorbidity.
  • [1]
    国家卫生健康委, 国家发展改革委, 教育部, 等. 关于印发加强和完善精神专科医疗服务意见的通知[EB/OL]. (2020-10-21)[2022-11-15]. http://www.nhc.gov.cn/yzygj/s3594q/202010/807eb9f57e164abebb866103fb2acbfd.shtml.
    [2]
    van Niekerk M, Walker J, Hobbs H, et al. The Prevalence of Psychiatric Disorders in General Hospital Inpatients: A Systematic Umbrella Review[J]. J Acad Consult Psychiatry, 2022, 63: 567-578
    [3]
    Borckardt JJ, Madan A, Barth K, et al. Excess Health Care Service Utilization and Costs Associated With Underrecogni-tion of Psychiatric Comorbidity in a Medical and Surgical Inpatient Setting[J]. Qual Manag Health Ca, 2011, 20: 98-102. DOI: 10.1097/QMH.0b013e3182134af0
    [4]
    Jansen L, van Schijndel M, van Waarde J, et al. Health-economic outcomes in hospital patients with medical-psychiatric comorbidity: A systematic review and meta-analysis[J]. PLos One, 2018, 13: e0194029. DOI: 10.1371/journal.pone.0194029
    [5]
    Pederson JL, Warkentin LM, Majumdar SR, et al. Depres-sive symptoms are associated with higher rates of readmission or mortality after medical hospitalization: A systematic review and meta-analysis[J]. J Hosp Med, 2016, 11: 373-380. DOI: 10.1002/jhm.2547
    [6]
    Lanvin V, Vulser H, Vinant V, et al. Early liaison psychiatry consultations and general hospital readmission: A retrospective cohort study[J]. Gen Hosp Psychiat, 2022, 77: 29-36. DOI: 10.1016/j.genhosppsych.2022.03.007
    [7]
    Vulser H, Vinant V, Chatellier G, et al. Associations between early consultation-liaison psychiatry intervention and subsequent length of stay in general hospital[J]. J Psychosom Res, 2018, 109: 143-144.
    [8]
    Sariaslan A, Sharpe M, Larsson H, et al. Psychiatric comorbidity and risk of premature mortality and suicide among those with chronic respiratory diseases, cardiovascular diseases, and diabetes in Sweden: A nationwide matched cohort study of over 1 million patients and their unaffected siblings[J]. PLos Med, 2022, 19: e1003864. DOI: 10.1371/journal.pmed.1003864
    [9]
    史丽丽, 赵晓晖, 姜荣环, 等. 北京市部分综合医院神经内科门诊焦虑、抑郁障碍现况调查[J]. 中国心理卫生杂志, 2009, 23: 616-620. DOI: 10.3969/j.issn.1000-6729.2009.09.003
    [10]
    郝世胜, 肖玲, 王惠玲, 等. 综合医院非精神科临床医师对抑郁焦虑障碍诊疗服务能力现状调查[J]. 中华行为医学与脑科学杂志, 2015, 24: 1037-1040. DOI: 10.3760/cma.j.issn.1674-6554.2015.11.021
    [11]
    Balestrieri M, Bisoffi G, Tansella M, et al. Identification of depression by medical and surgical general hospital physi-cians[J]. Gen Hosp Psychiat, 2002, 24: 4-11. DOI: 10.1016/S0163-8343(01)00176-1
    [12]
    Topitz A, Benda N, Saumer G, et al. Prävalenz und Erkennen der Depression an nicht-psychiatrischen Krankenhausabteilungen[J]. Neuropsychiatrie, 2015, 29: 63-70. DOI: 10.1007/s40211-015-0145-y
    [13]
    赵晓晖, 洪霞, 史丽丽, 等. 某三级甲等综合医院住院患者精神科会诊3年资料分析[J]. 中国心理卫生杂志, 2011, 25: 30-34. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201101008.htm
    [14]
    谢稚鹃, 郑敏婕, 史欣欣, 等. 2016年度某三级甲等综合医院精神科会诊的心内科住院患者资料分析[J]. 中华精神科杂志, 2018, 51: 163-168.
    [15]
    Chen KY, Evans R, Larkins S. Why are hospital doctors not referring to Consultation-Liaison Psychiatry?-a systemic review[J]. BMC Psychiatry, 2016, 16: 390. DOI: 10.1186/s12888-016-1100-6
    [16]
    曹锦亚, 魏镜, 洪霞, 等. 综合医院多元整合精神卫生服务[J]. 协和医学杂志, 2016, 7: 436-438. DOI: 10.3969/j.issn.1674-9081.2016.06.007
    [17]
    洪霞, 赵晓晖, 曾平, 等. 综合医院老年住院患者联络会诊精神医学服务模式探讨[J]. 中华老年多器官疾病杂志, 2015, 14: 103-107. https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=IPFD&filename=ZHYX201309005326&dbname=IPFD9914
    [18]
    魏镜, 史丽丽, 曹锦亚. 将心理健康状态系统评估与干预纳入患者安全管理[J]. 协和医学杂志, 2019, 10: 206-210. DOI: 10.3969/j.issn.1674-9081.2019.03.004
    [19]
    史丽丽, 魏镜, 洪霞. 专家咨询法建立患者安全管理的心理评估、干预以及心理危急值报告体系[J]. 协和医学杂志, 2021, 12: 359-365. DOI: 10.12290/xhyxzz.20190194
  • Related Articles

    [1]XIE Sining, JIANG Chenguan, LI Xiangjiahui, HAN Ruquan, YANG Zhou, LI Bingxin, SHI Lin. Incidence and Risk Factors of Postoperative Neuropsychiatric Dysfunctions After Deep Brain Stimulation Surgery in Patients with Parkinson's Disease: A Prospective Cohort Study[J]. Medical Journal of Peking Union Medical College Hospital, 2025, 16(2): 300-306. DOI: 10.12290/xhyxzz.2024-0460
    [2]XIAO Chunfeng, WEI Jing. Music Therapy for Mental Disorders: from "Universality" to "Personalization"[J]. Medical Journal of Peking Union Medical College Hospital, 2025, 16(2): 285-291. DOI: 10.12290/xhyxzz.2024-0695
    [3]HUANG Mingtao, LIU Yongxiao, MO Nan. Clinical Ethical Analysis of Informed Consent to Anesthesia in Patients with Mental Disorders[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(2): 437-441. DOI: 10.12290/xhyxzz.2022-0196
    [4]DUAN Yanping, GENG Wenqi, WEI Jing, HONG Xia, SHI Lili, CAO Jinya, LI Tao, JIANG Yinan, ZHAO Xiaohui. Feasibility of Hospitalized Treatment of Inpatients' Mental Disorders in General Hospitals[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(2): 322-327. DOI: 10.12290/xhyxzz.2022-0590
    [5]GENG Wen-qi, DUAN Yan-ping, JIANG Jing, LI Tao, ZHANG Ke-rang, ZHU Gang, YU Xin, SHI Li-li, WEI Jing. Effects of Comorbidity of Generalized Anxiety Disorder on Executive Functions of Patients with Major Depressive Disorder: A Multi-center Retrospective Case-control Study[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(2): 221-226. DOI: 10.3969/j.issn.1674-9081.2020.00.020
    [6]Xi-ya WANG, Cheng ZHEN. Development of Neurology and Psychiatry in Peking Union Medical College Hospital and Contributions of the Foreign Heads of the Division(1921—1941)[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(4): 492-499. DOI: 10.3969/j.issn.1674-9081.2020.04.023
    [7]Shan LI, Hui HUANG, Zuo-jun XU. Common Comorbidities in Patients with Idiopathic Pulmonary Fibrosis[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(3): 251-255. DOI: 10.3969/j.issn.1674-9081.2018.03.012
    [9]Na-na XIONG, Xia HONG, Jing JIANG, Xia-yuan SUN, Li-ming ZHU, Guo-qing TIAN, Jing WEI. Physical Illnesses and Psychological Characteristics of Outpatients with Multiple Somatic Symptoms in a General Hospital[J]. Medical Journal of Peking Union Medical College Hospital, 2014, 5(2): 129-134. DOI: 10.3969/j.issn.1674-9081.2014.02.001
    [10]Li-li SHI, Xiao-hui ZHAO, Yi-nan JIANG, Yang XIANG, Li-ming ZHU, Xiu-cai FANG, Shan GAO, Jing WEI. Prevalence of Depressive and Anxiety Disorders in the Peking Union Medical College Hospital and Current Clinical Practice[J]. Medical Journal of Peking Union Medical College Hospital, 2011, 2(2): 151-154. DOI: 10.3969/j.issn.1674-9081.2011.02.013
  • Cited by

    Periodical cited type(1)

    1. 常林,赵娟,冯红霞,詹晶. 分级心理干预模式对膝关节置换术患者心理及睡眠的影响. 现代医药卫生. 2023(19): 3383-3386 .

    Other cited types(0)

Catalog

    Article Metrics

    Article views (284) PDF downloads (96) Cited by(1)
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close