title: [German and American consultant psychiatrists evaluate their function. A contribution to quality improvement in consultation psychiatry].
abstract: There is an increasing interest in scientific and practical aspects of C/L psychiatry in Germany. The every day C/L work in Germany still differs substantially from the American one. In contrast to Germany and other European countries, C/L psychiatry in the USA has developed into a subspecialty with multiple activities in research and patient care during the last 3 decades. This study was conducted in Germany and the USA in order to evaluate and compare the training and patient care in C/L psychiatry, as assessed by consultants doing the every day C/L work. 227 C/L psychiatrists participated in the study in both countries. There are significant differences in theoretical and practical C/L psychiatry is obviously more comprehensive. American C/L psychiatrists take more time for consultations, do more follow-ups, and more frequently organize psychiatric or psychotherapeutic outpatient after-care. These results are suited to support activities to improve quality in Germany C/L psychiatry.
authors.affiliation: Klinik für Psychiatrie, Medizinische Universität zu Lübeck.
authors.forename: M
authors.initials: M
authors.lastname: Rothermundt
authors.forename: V
authors.initials: V
authors.lastname: Arolt
authors.forename: N B
authors.initials: NB
authors.lastname: Levy
mesh_terms: D003431:Cross-Cultural Comparison; D003479:Curriculum / Q000639:trends; D005544:Forecasting; D005858:Germany; D006801:Humans; D010348:Patient Care Team / Q000639:trends*; D010819:Physician's Role; D011570:Psychiatry / Q000193:education / Q000639:trends*; D011613:Psychotherapy / Q000193:education / Q000639:trends; D012017:Referral and Consultation / Q000639:trends*; D013038:Specialization / Q000639:trends; D014481:United States