Les patients hospitalisés en psychiatrie ont-ils un médecin traitant ?

Alors qu’une comorbidite somatique etait reperee pour pres de la moitie des 459 patients hospitalises dans un etablissement psychiatrique parisien lors d’une enquete par questionnaire, seuls 26,4 % de l’echantillon et 29,1 % de ceux ayant une comorbidite somatique avaient un medecin traitant identifiable. La probabilite d’identifier un medecin etait independante de la presence ou non d’une pathologie somatique connue. Trois facteurs − diagnostic psychiatrique F20-29, duree de sejour longue et incapacite a repondre a un questionnaire sans aide − etaient lies de facon significative (p < 0,0001) a l’impossibilite d’identifier un medecin traitant. Les auteurs soulignent l’interet de liens plus etroits entre la psychiatrie et la medecine de ville.

[1]  J. de Leon,et al.  Obesity and associated complications in patients with severe mental illnesses: a cross-sectional survey. , 2005, The Journal of clinical psychiatry.

[2]  K. Krishnan,et al.  Medical Comorbidity in a Bipolar Outpatient Clinical Population , 2005, Neuropsychopharmacology.

[3]  S. Péron,et al.  Les structures et les hommes , 2003 .

[4]  V. Meyer-Rochow,et al.  Excess mortality among long-stay psychiatric patients in Northern Finland , 2003, Social Psychiatry and Psychiatric Epidemiology.

[5]  C. Pantelis,et al.  Medical comorbidity in schizophrenia , 2003, The Medical journal of Australia.

[6]  P. L. Fur,et al.  Santé, soins et protection sociale en 2002 : enquête sur la santé et la protection sociale, France 2002 , 2003 .

[7]  R. Ganguli,et al.  Obesity and Medical Illnesses in Psychiatric Patients Admitted to a Long-term Psychiatric Facility , 2001, Journal of psychiatric practice.

[8]  D. Adamis,et al.  Physical morbidity in elderly psychiatric inpatients: prevalence and possible relations between the major mental disorders and physical illness , 2000, International journal of geriatric psychiatry.

[9]  L. Dixon,et al.  The association of medical comorbidity in schizophrenia with poor physical and mental health. , 1999, The Journal of nervous and mental disease.

[10]  P. Peterson,et al.  Prevalence of physical illness among psychiatric inpatients who die of natural causes. , 1998, Psychiatric services.

[11]  P E Mullen,et al.  Sudden death in psychiatric patients , 1998, British Journal of Psychiatry.

[12]  B. Felker,et al.  Mortality and medical comorbidity among psychiatric patients: a review. , 1996, Psychiatric services.

[13]  M. Usel,et al.  [Psychiatric diagnosis and cause of death in a hospitalized population]. , 1994, Revue d'epidemiologie et de sante publique.

[14]  D. Bunce,et al.  Medical Illness in Psychiatric Patients: Barriers to Diagnosis and Treatment , 1982, Southern medical journal.

[15]  E. Koranyi.  Morbidity and rate of undiagnosed physical illnesses in a psychiatric clinic population. , 1979, Archives of general psychiatry.