Parameters of Consultee Satisfaction With Inpatient Academic Psychiatric Consultation Services: A Multicenter Study

Lavakumar, Mallika; Gastelum, Emily D.; Choo, Tse Hwei; Gerkin, Jonathan S.; Kahn, Debra R.; Lee, Seonjoo; Nicolson, Stephen E.; Rosenthal, Lisa; Schwartz, Ann C.; Tobin, Marie; Wharton, Ralph N.; Shapiro, Peter A.

doi:10.1016/j.psym.2015.02.004

Cited by 15 publications

(5 citation statements)

References 14 publications

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“…Pediatric staff value timely response and practical management suggestions made by consulting staff 19 and express a high likelihood of making future referrals. 20 New programs are generally favorably reviewed by pediatric staff who report PPM services as valuable, that the consultants offer helpful advice, and that the mental health care of their patients improves.…”

Section: Discussionmentioning

confidence: 99%

“…20 New programs are generally favorably reviewed by pediatric staff who report PPM services as valuable, that the consultants offer helpful advice, and that the mental health care of their patients improves. 21 Results from a meta-analysis of adult psychosomatic medicine research 4 and more limited data from pediatric studies 19,22 have shown that services are generally highly rated in satisfaction by providers and patients. 4 It is clear that the PPM services need to continue to work with hospitals to obtain more support and funding for these nonbillable liaison activities that have been shown to improve satisfaction of patients, families, 10 and health care providers.…”

Section: Discussionmentioning

confidence: 99%

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Practice Patterns Revisited in Pediatric Psychosomatic Medicine

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Practice Patterns Revisited in Pediatric Psychosomatic Medicine

et al. 2016

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“…Referrers’ experience and satisfaction was measured by a questionnaire regarding their experience with the outpatient and inpatient CLP service. The structure and content of the survey was inspired by similar examples [ 10 , 13 , 14 ], from which the relevant topics for measuring CLP were identified and described. The draft survey was sent to three senior physicians and two senior nurses for review and feedback to gather the perspectives of the general hospital staff.…”

Section: Methodsmentioning

confidence: 99%

“…There is widespread agreement among professionals, managers and policy makers that an ongoing evaluation of CLP service quality using standardized measurements [ 13 ] is needed. Different measurement tools and quality indicators have been identified and developed in recent years, to assess consultee satisfaction [ 14 ], service utilization and efficiency [ 15 ], to secure quality improvement and accreditation [ 13 ], to improve service effectiveness [ 16 ] and to facilitate quality and outcome assessment and standardization of services [ 17 ]. However, a more widespread examination of CLP service quality across different countries [ 18 ], with an emphasis on using structured measurement tools [ 16 ] is needed.…”

Section: Introductionmentioning

confidence: 99%

Quality assessment of a consultation-liaison psychiatry service

2021

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Background Consultation-Liaison Psychiatry (CLP) provides services for patients with medical-psychiatric comorbidity at the general hospital. Referral satisfaction is considered as one of the most important outcome measures of CLP interventions. Our aim was to assess the levels of satisfaction with the CLP service amongst medical staff at a university hospital in Denmark. Methods Medical staff answered an online survey regarding their experience with different aspects of inpatient and outpatient CLP services. Results There were 152 responses from 16 medical units, with a survey return rate above 85%. Measured on a 5-point Likert scale, there was a median rating of 4 in response to questions regarding communication and organizational aspects, a median rating of 5 in response to questions regarding overall evaluation of the CLP service on both inpatient and outpatient questionnaire. The questions regarding treatment quality were rated with a median of 4 on the inpatient questionnaire and 2 of the outpatient questionnaire items, and with a median of 5 on 2 outpatient items. Physicians´ evaluations were statistically more positive than nurses´. As a group, respondents already employed before the CLP unit was established and those who used the CLP services more were statistically significantly more satisfied then respondents employed after the establishment of the CLP unit and those who used the CLP service less. Conclusion The CLP services were positively appreciated and considered to be valuable among medical hospital staff. We believe that Consultation-Liaison Psychiatry deserves further help to implement and expand its services in general hospital settings. In addition, our results underline the feasibility of surveys as quality measures of clinical care.

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“…Referral policy is not universal: it depends on referral barriers and facilitators, resources, awareness of psychosomatic relationships in clinical practice, a cooperative spirit, the experience of referring doctors and core competences of CLP teams. 4,5 Therefore, the range of diagnoses and referral questions are very broad and by no means uniform. Nevertheless, the most frequent diagnoses in consultation services are substance abuse-related mental disorders, age-related disorders like delirium and dementia and a broad scope of adjustment disorders with depression and anxiety symptoms.…”

Section: Introductionmentioning

confidence: 99%

The differences between referred and non-referred patients to a psychiatric consultation-liaison service in a general hospital

Valdés-Stauber

Kendel

2020

Int J Psychiatry Med

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Objective The primary aim of this study was to investigate whether there are clinical differences between patients who are referred or not referred for psychiatric consultation and liaison service. The secondary aim was to compare the perspectives of doctors, nurses and patients. Methods This naturalistic, prospective and comparative study (N = 294) utilised a control sample of non-referrals (n = 177, consenting 81) and referrals (n = 177, consenting 49). The normality of the data was examined with the Shapiro-Wilk test; bivariate group comparisons were made using Mann-Whitney, Wilcoxon tests and bivariate regression analyses. Statistically adjusted group comparisons were performed with multivariate median regressions. Results The sample presented limited representativeness. Referred patients were predominantly women, mostly living alone and not working. Compared to the non-referred patients, their disease episode and length of hospital stay were significantly longer, self-efficacy and quality of life lower and psychological stress was higher. For referred patients, there were no differences between the estimations of mental burden and the need for care among doctors, nurses and patients. Self-efficacy and appraisal of one's own burden were the best predictors of the extent of mental symptoms. Discussion Patients in an admission ward for internal medicine referred to a psychiatric consultation-liaison service displayed a more adverse psychosocial profile and were more psychologically burdened than non-referred patients, but they are also relevantly subsyndromal burdened. Identifying and supporting burdened patients is an endeavour that requires collaborative care, especially in the transition to specialised mental health and to primary care.

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Parameters of Consultee Satisfaction With Inpatient Academic Psychiatric Consultation Services: A Multicenter Study

Cited by 15 publications

References 14 publications

Practice Patterns Revisited in Pediatric Psychosomatic Medicine

Practice Patterns Revisited in Pediatric Psychosomatic Medicine

Quality assessment of a consultation-liaison psychiatry service

The differences between referred and non-referred patients to a psychiatric consultation-liaison service in a general hospital

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