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Quality assessment of a consultation-liaison psychiatry service

BACKGROUND: Consultation-Liaison Psychiatry (CLP) provides services for patients with medical-psychiatric comorbidity at the general hospital. Referral satisfaction is considered as one of the most important outcome measures of CLP interventions. Our aim was to assess the levels of satisfaction with...

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Autores principales: Kovacs, Zoltan, Asztalos, Marton, Grøntved, Simon, Nielsen, René Ernst
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8167950/
https://www.ncbi.nlm.nih.gov/pubmed/34074240
http://dx.doi.org/10.1186/s12888-021-03281-4
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author Kovacs, Zoltan
Asztalos, Marton
Grøntved, Simon
Nielsen, René Ernst
author_facet Kovacs, Zoltan
Asztalos, Marton
Grøntved, Simon
Nielsen, René Ernst
author_sort Kovacs, Zoltan
collection PubMed
description BACKGROUND: Consultation-Liaison Psychiatry (CLP) provides services for patients with medical-psychiatric comorbidity at the general hospital. Referral satisfaction is considered as one of the most important outcome measures of CLP interventions. Our aim was to assess the levels of satisfaction with the CLP service amongst medical staff at a university hospital in Denmark. METHODS: Medical staff answered an online survey regarding their experience with different aspects of inpatient and outpatient CLP services. RESULTS: There were 152 responses from 16 medical units, with a survey return rate above 85%. Measured on a 5-point Likert scale, there was a median rating of 4 in response to questions regarding communication and organizational aspects, a median rating of 5 in response to questions regarding overall evaluation of the CLP service on both inpatient and outpatient questionnaire. The questions regarding treatment quality were rated with a median of 4 on the inpatient questionnaire and 2 of the outpatient questionnaire items, and with a median of 5 on 2 outpatient items. Physicians´ evaluations were statistically more positive than nurses´. As a group, respondents already employed before the CLP unit was established and those who used the CLP services more were statistically significantly more satisfied then respondents employed after the establishment of the CLP unit and those who used the CLP service less. CONCLUSION: The CLP services were positively appreciated and considered to be valuable among medical hospital staff. We believe that Consultation-Liaison Psychiatry deserves further help to implement and expand its services in general hospital settings. In addition, our results underline the feasibility of surveys as quality measures of clinical care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-021-03281-4.
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spelling pubmed-81679502021-06-02 Quality assessment of a consultation-liaison psychiatry service Kovacs, Zoltan Asztalos, Marton Grøntved, Simon Nielsen, René Ernst BMC Psychiatry Research BACKGROUND: Consultation-Liaison Psychiatry (CLP) provides services for patients with medical-psychiatric comorbidity at the general hospital. Referral satisfaction is considered as one of the most important outcome measures of CLP interventions. Our aim was to assess the levels of satisfaction with the CLP service amongst medical staff at a university hospital in Denmark. METHODS: Medical staff answered an online survey regarding their experience with different aspects of inpatient and outpatient CLP services. RESULTS: There were 152 responses from 16 medical units, with a survey return rate above 85%. Measured on a 5-point Likert scale, there was a median rating of 4 in response to questions regarding communication and organizational aspects, a median rating of 5 in response to questions regarding overall evaluation of the CLP service on both inpatient and outpatient questionnaire. The questions regarding treatment quality were rated with a median of 4 on the inpatient questionnaire and 2 of the outpatient questionnaire items, and with a median of 5 on 2 outpatient items. Physicians´ evaluations were statistically more positive than nurses´. As a group, respondents already employed before the CLP unit was established and those who used the CLP services more were statistically significantly more satisfied then respondents employed after the establishment of the CLP unit and those who used the CLP service less. CONCLUSION: The CLP services were positively appreciated and considered to be valuable among medical hospital staff. We believe that Consultation-Liaison Psychiatry deserves further help to implement and expand its services in general hospital settings. In addition, our results underline the feasibility of surveys as quality measures of clinical care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-021-03281-4. BioMed Central 2021-06-01 /pmc/articles/PMC8167950/ /pubmed/34074240 http://dx.doi.org/10.1186/s12888-021-03281-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Kovacs, Zoltan
Asztalos, Marton
Grøntved, Simon
Nielsen, René Ernst
Quality assessment of a consultation-liaison psychiatry service
title Quality assessment of a consultation-liaison psychiatry service
title_full Quality assessment of a consultation-liaison psychiatry service
title_fullStr Quality assessment of a consultation-liaison psychiatry service
title_full_unstemmed Quality assessment of a consultation-liaison psychiatry service
title_short Quality assessment of a consultation-liaison psychiatry service
title_sort quality assessment of a consultation-liaison psychiatry service
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8167950/
https://www.ncbi.nlm.nih.gov/pubmed/34074240
http://dx.doi.org/10.1186/s12888-021-03281-4
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