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The Medical-Psychiatric Unit: A Novel Psychosomatic Approach
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1985
Year
NursingPrimary CarePsychopathologyPsychiatric EvaluationPsychiatryPsychiatric ConsultationMedical-psychiatric UnitGeneral PracticeSocial SciencesClinical PsychiatryMental HealthPatient ManagementMedicineRetrospective Chart ReviewPatient ExperienceGeneral Hospital PatientsPsychologyHospital Medicine
A retrospective chart review of 600 general hospital patients, of whom 200 had been admitted to a medical-psychiatric unit, 200 to a conventional psychiatric unit and 200 to medical-surgical units, and for whom psychiatric consultation had been requested, disclosed significant differences in the patient populations of these services. The data suggest that consultation psychiatry and medical-psychiatric units serve two different subgroups of patients with combined physical and psychiatric illness. A comprehensive model of clinical psychosomatic medicine encompassing consultation psychiatry, liaison psychiatry, medical-psychiatric units and after-care medical-psychiatric clinics, is proposed.