The role of local inpatient psychiatric units and general practitioner on continuity of care in Northern Norway: A case‐register study
Abstract 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 partic...
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crwiley:10.1002/mpr.1866 2024-06-02T08:12:06+00:00 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 2020 http://dx.doi.org/10.1002/mpr.1866 https://onlinelibrary.wiley.com/doi/pdf/10.1002/mpr.1866 https://onlinelibrary.wiley.com/doi/full-xml/10.1002/mpr.1866 en eng Wiley http://creativecommons.org/licenses/by-nc-nd/4.0/ International Journal of Methods in Psychiatric Research volume 30, issue 2 ISSN 1049-8931 1557-0657 journal-article 2020 crwiley https://doi.org/10.1002/mpr.1866 2024-05-03T11:58:57Z Abstract 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. Article in Journal/Newspaper Northern Norway Wiley Online Library Norway International Journal of Methods in Psychiatric Research 30 2 |
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Abstract 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 |
Article in Journal/Newspaper |
author |
Myklebust, Lars Henrik Lassemo, Eva |
spellingShingle |
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 |
author_facet |
Myklebust, Lars Henrik Lassemo, Eva |
author_sort |
Myklebust, Lars Henrik |
title |
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_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_sort |
role of local inpatient psychiatric units and general practitioner on continuity of care in northern norway: a case‐register study |
publisher |
Wiley |
publishDate |
2020 |
url |
http://dx.doi.org/10.1002/mpr.1866 https://onlinelibrary.wiley.com/doi/pdf/10.1002/mpr.1866 https://onlinelibrary.wiley.com/doi/full-xml/10.1002/mpr.1866 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_source |
International Journal of Methods in Psychiatric Research volume 30, issue 2 ISSN 1049-8931 1557-0657 |
op_rights |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
op_doi |
https://doi.org/10.1002/mpr.1866 |
container_title |
International Journal of Methods in Psychiatric Research |
container_volume |
30 |
container_issue |
2 |
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1800758429454696448 |