'Medical clearance' and referral to liaison psychiatry: a national service evaluation.
In: BJPsych Bulletin, Jg. 48 (2024-06-01), Heft 3, S. 151-158
Online
academicJournal
Zugriff:
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]
Titel: |
'Medical clearance' and referral to liaison psychiatry: a national service evaluation.
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Autor/in / Beteiligte Person: | Gillett, George ; Westwood, Sophie ; Thomson, Alex B. ; Lee, William |
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Zeitschrift: | BJPsych Bulletin, Jg. 48 (2024-06-01), Heft 3, S. 151-158 |
Veröffentlichung: | 2024 |
Medientyp: | academicJournal |
ISSN: | 2056-4694 (print) |
DOI: | 10.1192/bjb.2023.43 |
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