综合医院精神卫生实践方法之UPSCALE查房模型  

A Method of General Hospital Mental Health Service-UPSCALE(Union Psycho-Somatic Clinical Approach with Learning Exchange)Model

作　　者：曹锦亚[1] 魏镜[1] 朱丽明[1] 曾学军[1] 李宏军[1] 高山[1] 赵维刚[1] 田国庆[1] 蒋静[1] Kurt Fritzsche CAO Jin-ya WEI Jing ZHU Li-ming et al(Peking Union Medical College Hospital, Chinese Academy of Medical Science ＆ Peking Union Medical College, Beijing 100730, China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院,北京100730 [2]德国弗莱堡大学心身医学和心理治疗科,德国弗莱堡d79104

出　　处：《医学与哲学（B）》2016年第10期70-72,84,共4页Medicine & Philosophy(B)

基　　金：2013年国家卫生和计划生育委员会"精神卫生服务能力建设试点项目";项目编号:IHECC2013MHCB;2014年北京市外国专家局引进国外技术;管理人才项目;项目编号:GDJ20141100012;2016年北京协和医院中青年科研基金项目;项目编号:pumch-2016-3.3

摘　　要：综合医院精神卫生服务需求非常之高,门诊常见有躯体疾病合并精神心理问题或以躯体症状就诊的心理生理障碍患者。医学分科导致的医学学科割裂正使得各学科在独立处理这些患者时都面临困难。北京协和医院心理医学科魏镜医生探索建立的多学科的、生物心理社会医学模式为理念的、基于以患者为中心的医患关系和访谈模式的UPSCALE查房模型设计用于从形式到内容上都整合地去面对患者这个人和患者的症状,以有效地建立医患关系、实现对患者的有效治疗。其已在临床上显示有效性和可操作性。Mental health service is highly needed in general hospitals.Physical and psychiatric co-morbidities and psychosomatic disorders are often seen in outpatient clinic and cause challenges for doctors,including psychiatrists,because of the divergence of medical specialties.Medicine needs to be presented as a whole when facing these patients.A multiple discipline, biological-psychological-social medicine model orientated, and patient-centered doctor-patient relationship and interview mode based model（UPSCALE）developed by Dr Wei Jing,PUMCH,is designed to take care of these patients and their symptoms in a holistic and integrative manner and help build a trustful relationship with patients and start integrative treatment.The UPSCALE model has shown efficacy and applicability in practice.

关 键 词：综合医院精神卫生服务 联络会诊 生物心理社会医学模式 以患者为中心 多学科 

分 类 号：R749[医药卫生—神经病学与精神病学]