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Titolo:
Do consultation-liaison services change the behavior of primary care providers? A review
Autore:
Bower, P; Sibbald, B;
Indirizzi:
Univ Manchester, NPCRDC, Manchester M13 9PL, Lancs, England Univ Manchester Manchester Lancs England M13 9PL M13 9PL, Lancs, England
Titolo Testata:
GENERAL HOSPITAL PSYCHIATRY
fascicolo: 2, volume: 22, anno: 2000,
pagine: 84 - 96
SICI:
0163-8343(200003/04)22:2<84:DCSCTB>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
GENERAL-PRACTICE; MENTAL-HEALTH; PSYCHIATRIC-CONSULTATION; COLLABORATIVE MANAGEMENT; SOMATIZATION DISORDER; COST-EFFECTIVENESS; RANDOMIZED TRIALS; DEPRESSION; PRACTITIONERS; INTERVENTION;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Bower, P Univ Manchester, NPCRDC, 5th Floor,Williamson Bldg, Manchester M13 9PL, Lancs, England Univ Manchester 5th Floor,Williamson Bldg Manchester Lancs England M13 9PL
Citazione:
P. Bower e B. Sibbald, "Do consultation-liaison services change the behavior of primary care providers? A review", GEN HOSP PS, 22(2), 2000, pp. 84-96

Abstract

A key aspect of consultation-liaison (C-L) psychiatry is the policy of maintaining primary care providers (PCPs) at the forefront of mental health careful their populations, with specialist mental health workers (MHWs)functioning to provide support and assistance to PCPs. This paper reviews the literature concerning the educational effects of C-L psychiatry in primary care by examining the effects on the clinical behavior of PCPs. Behaviors included diagnosis, consultation rates, psychotropic prescribing, investigations, and referrals. A range of C-L interventions were identified. These varied in terms of both the personnel and the educational/supportive processes involved, as well as the overall intensity of the intervention. Qualitative summary of the results indicated that the Effects of C-L on PCP behavior are relatively modest in scope and move reliably associated with multifacetedC-L interventions. There is little convincing evidence that C-L interventions cause enduring change in PCP behavior, either after the C-L intervention has finished, or towards patients under the care of the PCP who are not managed directly under a C-L intervention. Although a comprehensive evaluation of the effects of C-L is not restricted to changes in PCP behavior, the present data suggest that enduring change at the level of the PCP may require interventions additional or alternative to those currently utilised in C-L models. 2000 Published by Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 15:13:51