Comparison of consultation liaison psychiatry services for inner-city, district or regional general hospitals using a common tool: Does one size fit all?

被引：15

作者：

Wand, Anne P. F. ^{[1
,2
]}

Wood, Rebecca ^{[3
,4
]}

Macfarlane, Matthew D. ^{[5
,6
]}

Hunt, Glenn E. ^{[3
,4
]}

机构：

[1] South Eastern Sydney Local Hlth Dist, Kogarah, NSW, Australia

[2] Univ New S Wales, Fac Med, Sydney, NSW 2052, Australia

[3] Sydney Local Hlth Dist, Kogarah, NSW, Australia

[4] Univ Sydney, Sydney Med Sch, Discipline Psychiat, Sydney, NSW 2006, Australia

[5] Illawarra Shoalhaven Local Hlth Dist, Wollongong, NSW, Australia

[6] Univ Wollongong, Grad Sch Med, Wollongong, NSW, Australia

来源：

JOURNAL OF PSYCHOSOMATIC RESEARCH | 2016年 / 84卷

关键词：

Consultation-liaison psychiatry; Evaluation; Quality improvement; Lagtime; Measurement; LENGTH-OF-STAY; COMORBIDITY; INDICATORS; CONTACT;

D O I：

10.1016/j.jpsychores.2016.03.007

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: Consultation-liaison psychiatry (CLP) services vary in terms of structure, function and responsiveness. It is not known whether evaluation measurements can be meaningfully compared across different CLP services to assess value and efficiency. The aim was to develop and test a common tool for measuring process and outcome measures in CLP. Methods: A data collection tool was developed using the literature and consultation with CLP clinicians. The tool was used to prospectively gather referral data, response times, health utilisation data and functional outcomes for individuals referred over seven months to three different CLP teams, servicing inner city, district and regional areas. Results: The structure, staffing, liaison attachments and scope of practice varied between the services. The regional CLP service attended seven hospitals and had the highest referral rate and largest inpatient population pool. The three services received referrals for similar reasons and made similar diagnoses. Multimodal management was the norm, and CLP facilitated follow-up arrangements upon discharge. Only the district CLP service saw all emergency referrals within an hour. Age and need for an interpreter did not affect response times. Conclusion: Despite local differences in geography, CLP roles, hospital and community mental health service pathways and patient populations, the CLP data collection tool was applicable across sites. Staff resourcing and referral demand are key determinants of CLP response times. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：13 / 21

页数：9