التفاصيل البيبلوغرافية
| العنوان: |
'Medical clearance' and referral to liaison psychiatry: a national service evaluation. |
| المؤلفون: |
Gillett, George, Westwood, Sophie, Thomson, Alex B., Lee, William |
| المصدر: |
BJPsych Bulletin; Jun2024, Vol. 48 Issue 3, p151-158, 8p |
| مصطلحات موضوعية: |
MEDICAL clearance, CONSULTATION-liaison psychiatry, MENTAL health services, PHYSICIANS |
| مصطلحات جغرافية: |
ENGLAND |
| مستخلص: |
Aims and method: The prevalence of delaying psychiatric care until the patient has received 'medical clearance', and the definitions and understanding of 'medical clearance' terminology by relevant clinicians, are largely unknown. In a service evaluation of adult liaison psychiatry services across England, we explore the prevalence, definitions and understanding of 'medical clearance' terminology in three parallel studies: (a) an analysis of trust policies, (b) a survey of liaison psychiatry services and (c) a survey of referring junior doctors. Content and thematic analyses were performed. Results: ' Medical clearance' terminology was used in the majority of trust policies, reported as a referral criterion by many liaison psychiatry services and had been encountered by most referring doctors. 'Medical clearance' was identified as a common barrier to liaison psychiatry referral. Terms were inconsistently used and poorly defined. Clinical implications: Many liaison psychiatry services seem not to comply with guidance promoting parallel assessment. This may affect parity of physical and mental healthcare provision. [ABSTRACT FROM AUTHOR] |
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