New models of care: a liaison psychiatry service for medically unexplained symptoms and frequent attenders in primary care
| Autor: | Charlotte Freeman, Angela Moulson, Suzanne Heywood-Everett, Brendan Kennedy, Mick James, Najma Siddiqi, Janine C Bestall, Paul Carder, Allan House |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Service (business)
medicine.medical_specialty business.industry 030503 health policy & services Medically unexplained Primary care Original Papers 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Early results Multidisciplinary approach Family medicine Health care Liaison psychiatry Medicine 030212 general & internal medicine 0305 other medical science business Evidence synthesis |
| Zdroj: | BJPsych Bulletin |
| ISSN: | 2056-4694 2056-4708 |
| Popis: | Aims and methodThis paper describes the process of setting up and the early results from a new liaison psychiatry service in primary care for people identified as frequent general practice attenders with long-term conditions or medically unexplained symptoms. Using a rapid evidence synthesis, we identified existing service models, mechanisms to identify and refer patients, and outcomes for the service. Considering this evidence, with local contingencies we defined options and resources. We agreed a model to set up a service in three diverse general practices. An evaluation explored the feasibility of the service and of collecting data for clinical, service and economic outcomes.ResultsHigh levels of patient and staff satisfaction, and reductions in the utilisation of primary and secondary healthcare, with associated cost savings are reported.Clinical implicationsA multidisciplinary liaison psychiatry service integrated in primary care is feasible and may be evaluated using routinely collected data. |
| Databáze: | OpenAIRE |
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