Cargando…

Psychiatric outpatient consultation for seniors. Perspectives of family physicians, consultants, and patients / family: A descriptive study

BACKGROUND: Family practitioners take care of large numbers of seniors with increasingly complex mental health problems. Varying levels of input may be necessary from psychiatric consultants. This study examines patients'/family, family practitioners', and psychiatrists' perceptions o...

Descripción completa

Detalles Bibliográficos
Autores principales: Yaffe, Mark J, Primeau, Francois, McCusker, Jane, Cole, Martin G, Belzile, Eric, Dendukuri, Nandini, Elie, Michel, Laplante, Johanne
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1090569/
https://www.ncbi.nlm.nih.gov/pubmed/15840163
http://dx.doi.org/10.1186/1471-2296-6-15
_version_ 1782123887548432384
author Yaffe, Mark J
Primeau, Francois
McCusker, Jane
Cole, Martin G
Belzile, Eric
Dendukuri, Nandini
Elie, Michel
Laplante, Johanne
author_facet Yaffe, Mark J
Primeau, Francois
McCusker, Jane
Cole, Martin G
Belzile, Eric
Dendukuri, Nandini
Elie, Michel
Laplante, Johanne
author_sort Yaffe, Mark J
collection PubMed
description BACKGROUND: Family practitioners take care of large numbers of seniors with increasingly complex mental health problems. Varying levels of input may be necessary from psychiatric consultants. This study examines patients'/family, family practitioners', and psychiatrists' perceptions of the bi-directional pathway between such primary care doctors and consultants. METHODS: An 18 month survey was conducted in an out-patient psychogeriatric clinic of a Montreal university-affiliated community hospital. Cognitively intact seniors referred by family practitioners for assessment completed a satisfaction and expectation survey following their visits with the psychiatric consultants. The latter completed a self-administered process of care questionnaire at the end of the visit, while family doctors responded to a similar survey by telephone after the consultants' reports had been received. Responses of the 3 groups were compared. RESULTS: 101 seniors, referred from 63 family practitioners, met the study entry criteria for assessment by 1 of 3 psychogeriatricians. Both psychiatrists and family doctors agreed that help with management was the most common reason for referral. Family physicians were accepting of care of elderly with mental health problems, but preferred that the psychiatrists assume the initial treatment; the consultants preferred direct return of the patient; and almost 1/2 of patients did not know what to expect from the consultation visit. The rates of discordance in expectations were high when each unique patient-family doctor-psychiatrist triad was examined. CONCLUSION: Gaps in expectations exist amongst family doctors, psychiatrists, and patients/family in the shared mental health care of seniors. Goals and anticipated outcomes of psychogeriatric consultation require better definition.
format Text
id pubmed-1090569
institution National Center for Biotechnology Information
language English
publishDate 2005
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-10905692005-05-07 Psychiatric outpatient consultation for seniors. Perspectives of family physicians, consultants, and patients / family: A descriptive study Yaffe, Mark J Primeau, Francois McCusker, Jane Cole, Martin G Belzile, Eric Dendukuri, Nandini Elie, Michel Laplante, Johanne BMC Fam Pract Research Article BACKGROUND: Family practitioners take care of large numbers of seniors with increasingly complex mental health problems. Varying levels of input may be necessary from psychiatric consultants. This study examines patients'/family, family practitioners', and psychiatrists' perceptions of the bi-directional pathway between such primary care doctors and consultants. METHODS: An 18 month survey was conducted in an out-patient psychogeriatric clinic of a Montreal university-affiliated community hospital. Cognitively intact seniors referred by family practitioners for assessment completed a satisfaction and expectation survey following their visits with the psychiatric consultants. The latter completed a self-administered process of care questionnaire at the end of the visit, while family doctors responded to a similar survey by telephone after the consultants' reports had been received. Responses of the 3 groups were compared. RESULTS: 101 seniors, referred from 63 family practitioners, met the study entry criteria for assessment by 1 of 3 psychogeriatricians. Both psychiatrists and family doctors agreed that help with management was the most common reason for referral. Family physicians were accepting of care of elderly with mental health problems, but preferred that the psychiatrists assume the initial treatment; the consultants preferred direct return of the patient; and almost 1/2 of patients did not know what to expect from the consultation visit. The rates of discordance in expectations were high when each unique patient-family doctor-psychiatrist triad was examined. CONCLUSION: Gaps in expectations exist amongst family doctors, psychiatrists, and patients/family in the shared mental health care of seniors. Goals and anticipated outcomes of psychogeriatric consultation require better definition. BioMed Central 2005-04-19 /pmc/articles/PMC1090569/ /pubmed/15840163 http://dx.doi.org/10.1186/1471-2296-6-15 Text en Copyright © 2005 Yaffe et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Yaffe, Mark J
Primeau, Francois
McCusker, Jane
Cole, Martin G
Belzile, Eric
Dendukuri, Nandini
Elie, Michel
Laplante, Johanne
Psychiatric outpatient consultation for seniors. Perspectives of family physicians, consultants, and patients / family: A descriptive study
title Psychiatric outpatient consultation for seniors. Perspectives of family physicians, consultants, and patients / family: A descriptive study
title_full Psychiatric outpatient consultation for seniors. Perspectives of family physicians, consultants, and patients / family: A descriptive study
title_fullStr Psychiatric outpatient consultation for seniors. Perspectives of family physicians, consultants, and patients / family: A descriptive study
title_full_unstemmed Psychiatric outpatient consultation for seniors. Perspectives of family physicians, consultants, and patients / family: A descriptive study
title_short Psychiatric outpatient consultation for seniors. Perspectives of family physicians, consultants, and patients / family: A descriptive study
title_sort psychiatric outpatient consultation for seniors. perspectives of family physicians, consultants, and patients / family: a descriptive study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1090569/
https://www.ncbi.nlm.nih.gov/pubmed/15840163
http://dx.doi.org/10.1186/1471-2296-6-15
work_keys_str_mv AT yaffemarkj psychiatricoutpatientconsultationforseniorsperspectivesoffamilyphysiciansconsultantsandpatientsfamilyadescriptivestudy
AT primeaufrancois psychiatricoutpatientconsultationforseniorsperspectivesoffamilyphysiciansconsultantsandpatientsfamilyadescriptivestudy
AT mccuskerjane psychiatricoutpatientconsultationforseniorsperspectivesoffamilyphysiciansconsultantsandpatientsfamilyadescriptivestudy
AT colemarting psychiatricoutpatientconsultationforseniorsperspectivesoffamilyphysiciansconsultantsandpatientsfamilyadescriptivestudy
AT belzileeric psychiatricoutpatientconsultationforseniorsperspectivesoffamilyphysiciansconsultantsandpatientsfamilyadescriptivestudy
AT dendukurinandini psychiatricoutpatientconsultationforseniorsperspectivesoffamilyphysiciansconsultantsandpatientsfamilyadescriptivestudy
AT eliemichel psychiatricoutpatientconsultationforseniorsperspectivesoffamilyphysiciansconsultantsandpatientsfamilyadescriptivestudy
AT laplantejohanne psychiatricoutpatientconsultationforseniorsperspectivesoffamilyphysiciansconsultantsandpatientsfamilyadescriptivestudy