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The role of local inpatient psychiatric units and general practitioner on continuity of care in Northern Norway: A case‐register study
OBJECTIVES: The general practitioners' (GP) role in the care of mental health patients has received increased attention. The literature underlines the need for integration of primary and specialist services, but cross‐boundary continuity for patients with severe conditions may be particularly p...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8170572/ https://www.ncbi.nlm.nih.gov/pubmed/33248004 http://dx.doi.org/10.1002/mpr.1866 |
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author | Myklebust, Lars Henrik Lassemo, Eva |
author_facet | Myklebust, Lars Henrik Lassemo, Eva |
author_sort | Myklebust, Lars Henrik |
collection | PubMed |
description | OBJECTIVES: The general practitioners' (GP) role in the care of mental health patients has received increased attention. The literature underlines the need for integration of primary and specialist services, but cross‐boundary continuity for patients with severe conditions may be particularly poor. The aim of this study was to analyze the collaboration between primary care and different models of specialized psychiatric services for patients with severe conditions. METHODS: We compared a local and a centralized model of mental health care. Service utilization over a 5‐year period was studied. RESULTS: Findings suggest that a local institution‐based model of services positively affects the use of both GP and specialist outpatient care, with most inpatients utilizing both GP and specialist outpatient consultations. In the centralized model, a substantial proportion of inpatients only used GP outpatient care. Furthermore, inpatients that used both GP and specialist outpatient services received more of both services compared to those who did not enter specialist outpatient care at all. CONCLUSION: Local inpatient units may positively affect continuity of care and collaboration between general practitioners and specialist psychiatric services compared to more traditional hospital units, probably because better functional integration of services, better facilitation of clinical alliances/relationships, or a more network‐oriented treatment philosophy. |
format | Online Article Text |
id | pubmed-8170572 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-81705722021-06-11 The role of local inpatient psychiatric units and general practitioner on continuity of care in Northern Norway: A case‐register study Myklebust, Lars Henrik Lassemo, Eva Int J Methods Psychiatr Res Original Article OBJECTIVES: The general practitioners' (GP) role in the care of mental health patients has received increased attention. The literature underlines the need for integration of primary and specialist services, but cross‐boundary continuity for patients with severe conditions may be particularly poor. The aim of this study was to analyze the collaboration between primary care and different models of specialized psychiatric services for patients with severe conditions. METHODS: We compared a local and a centralized model of mental health care. Service utilization over a 5‐year period was studied. RESULTS: Findings suggest that a local institution‐based model of services positively affects the use of both GP and specialist outpatient care, with most inpatients utilizing both GP and specialist outpatient consultations. In the centralized model, a substantial proportion of inpatients only used GP outpatient care. Furthermore, inpatients that used both GP and specialist outpatient services received more of both services compared to those who did not enter specialist outpatient care at all. CONCLUSION: Local inpatient units may positively affect continuity of care and collaboration between general practitioners and specialist psychiatric services compared to more traditional hospital units, probably because better functional integration of services, better facilitation of clinical alliances/relationships, or a more network‐oriented treatment philosophy. John Wiley and Sons Inc. 2020-11-28 /pmc/articles/PMC8170572/ /pubmed/33248004 http://dx.doi.org/10.1002/mpr.1866 Text en © 2020 The Authors. International Journal of Methods in Psychiatric Research published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Article Myklebust, Lars Henrik Lassemo, Eva The role of local inpatient psychiatric units and general practitioner on continuity of care in Northern Norway: A case‐register study |
title | The role of local inpatient psychiatric units and general practitioner on continuity of care in Northern Norway: A case‐register study |
title_full | The role of local inpatient psychiatric units and general practitioner on continuity of care in Northern Norway: A case‐register study |
title_fullStr | The role of local inpatient psychiatric units and general practitioner on continuity of care in Northern Norway: A case‐register study |
title_full_unstemmed | The role of local inpatient psychiatric units and general practitioner on continuity of care in Northern Norway: A case‐register study |
title_short | The role of local inpatient psychiatric units and general practitioner on continuity of care in Northern Norway: A case‐register study |
title_sort | role of local inpatient psychiatric units and general practitioner on continuity of care in northern norway: a case‐register study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8170572/ https://www.ncbi.nlm.nih.gov/pubmed/33248004 http://dx.doi.org/10.1002/mpr.1866 |
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