Crossing the bridge – A prospective comparative study of the effect of communication between a hospital based consultation-liaison service and primary care on general practitioners' concordance with consultation-liaison psychiatrists' recommendations

Burian, Ronald; Franke, Miriam; Diefenbacher, Albert

doi:10.1016/j.jpsychores.2016.05.002

Cited by 13 publications

(5 citation statements)

References 16 publications

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“…56 With regard to the subsequent transition back to primary care at the end of a hospital stay, there is evidence that the GPs' concordance with CLS' recommendations may be enhanced by direct communication between the hospital and the primary care providers. 57 This evidence concurs with in-hospital findings that a more proactive CLS involvement may prevent comorbid patients from going unrecognized. 23,58 Integrated day care and outpatient psychosomatic treatment Research into integrated psychosomatic care involving different medical specialties on a day hospital basis is scarce.…”

Section: Integrated Care In the Medical Hospitalsupporting

confidence: 84%

The multi-disciplinary arena of psychosomatic medicine – Time for a transitional network approach

Leue

Schijndel

Keszthelyi

et al. 2020

The European Journal of Psychiatry

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Section: Integrated Care In the Medical Hospitalsupporting

confidence: 84%

The multi-disciplinary arena of psychosomatic medicine – Time for a transitional network approach

Leue

Schijndel

Keszthelyi

et al. 2020

The European Journal of Psychiatry

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“…Consultation services in general hospital could therefore be referred to as "filters" for mental health care, in particular for patients with minor depressive or anxiety disorders (Burian, Franke, & Diefenbacher, 2016).…”

Section: Background mentioning

confidence: 99%

Consultation-Liaison Psychiatry for Outpatients in a Great Metropolitan Hospital

Porcellana¹,

Panariello²,

Percudani³

2019

JPR

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Consultation-liaison psychiatry remains the guardian of holistic approach to the patient and consultation services in general hospital could therefore be referred to as "filters" for mental health care, in particular for patients with minor depressive or anxiety disorders. It is worth noting that psychiatric disorders, even when sub-clinical, worsen outcome whereas their early detection and treatment reduce health care costs significantly. The present study was transversal, exploratory, and descriptive in order to investigate the sample of outpatients referred from general practitioners (GP) to service of consultation-liaison psychiatry of the ASST Great Metropolitan Hospital Niguarda of Milan over a 7-months period. Data from all psychiatric consultations for outpatients were collected by a structured clinical report including socio-demographic features, features of referrals, and features of back-referrals. Five hundred and eleven consultations were performed. Participants were mainly female (58.7%) with an average age between 45 and 55 years (27.6%); 31.1% of these patients was at the first contact with a mental health specialist. The diagnoses formulated were distributed as follows: The most common diagnoses were affective disorders (44.6%), followed by neurotic disorders (34.1%), personality disorders (6.8 %), and finally, psychosis (6.2%). The study showed an example of a consultation-liaison service situated in a Great Metropolitan Hospital offering to GP the opportunity of a diagnostic assessment and shared management of minor psychiatric disorders. This approach could lead to several vantages, such as the management in a non-psychiatric setting of patients with reduction of stigma and reduced costs for specific psychiatric services where are referred more severe patients.

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“…Vor allem in der Psychiatrie gibt es hierzu Forschungen. Diese besagen, dass im günstigsten Fall 50 Prozent der Empfehlungen 29 , im ungünstigsten Fall nur 30 Prozent 22 befolgt werden. Es gibt keinen Grund anzunehmen, dass diese Zahlen in der Schmerztherapie anders wären.…”

Section: Ergebnisseunclassified

Keine Interdisziplinarität ohne Interprofessionalität in der Schmerztherapie

Brinkers¹,

Pfau²,

Voigt³

et al. 2022

intensiv

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Am Beispiel der Psychiatrie zeigt sich eindrucksvoll, dass ein Missverhältnis zwischen der niedrigen Zahl von Konsilen und der drei- bis 15-fach höheren Zahl an Patienten mit psychischen Störungen in einem Allgemeinkrankenhaus besteht. Das gleiche Problem besteht auch in der Schmerztherapie. Die Auflösung dieses Missverhältnisses könnte zu einer besseren Patientenversorgung in den verschiedensten Bereichen der klinischen Medizin beitragen. Ein Arbeitsmodell aus der Schmerztherapie zeigt mögliche Wege auf.

show abstract

Crossing the bridge – A prospective comparative study of the effect of communication between a hospital based consultation-liaison service and primary care on general practitioners' concordance with consultation-liaison psychiatrists' recommendations

Cited by 13 publications

References 16 publications

The multi-disciplinary arena of psychosomatic medicine – Time for a transitional network approach

The multi-disciplinary arena of psychosomatic medicine – Time for a transitional network approach

Consultation-Liaison Psychiatry for Outpatients in a Great Metropolitan Hospital

Keine Interdisziplinarität ohne Interprofessionalität in der Schmerztherapie

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