Abstract
Patients admitted to a general hospital psychiatric service were divided into two groups depending on whether they had primary care physicians. Significant differences were found in age, sex, psychiatric diagnoses, and incidence of active medical problems. The primary care physicians said they were aware of these patients’ psychiatric problems and had treated them in their offices, but were reluctant to participate in medical care during psychiatric hospitalization. The reasons for this are dis cussed, and a model for collaborative treatment by primary care physicians and hospital-based psychiatrists is presented.
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