A comparison of referrals to primary-care and hospital out-patient clinics
Autor: | J. R. W. Christie-Brown, R. M. A. Brown, G. Strathdee, P. H. Robinson |
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Rok vydání: | 1988 |
Předmět: |
Adult
Male medicine.medical_specialty Outpatient Clinics Hospital media_common.quotation_subject MEDLINE Context (language use) Primary care 03 medical and health sciences 0302 clinical medicine Sex Factors London Medicine Personality Outpatient clinic Humans 030212 general & internal medicine Psychiatry Referral and Consultation media_common Emergency Services Psychiatric Primary Health Care business.industry Mental Disorders Attendance Middle Aged Psychiatric clinics Acute Psychosis 030227 psychiatry Psychiatry and Mental health Family medicine Female business Family Practice |
Zdroj: | The British journal of psychiatry : the journal of mental science. 153 |
ISSN: | 0007-1250 |
Popis: | All referrals from two general practices to psychiatrists in hospital and primary-care out-patient clinics were examined. Women in all diagnostic groups were preferentially referred to the primary-care clinics, which provided especially for psychotic and chronic illnesses, and at which attendance rates on first and subsequent appointments were substantially higher than at the hospital clinics. The hospital crisis-intervention clinic dealt particularly with acute psychosis and personality disorder. Patients referred to the traditional hospital out-patient service were those with the less common neuroses and personality disorder. These results are reviewed in the context of the criticism that psychiatric clinics in primary care serve only the “worried well”. |
Databáze: | OpenAIRE |
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