Huebner-Liebermann, Bettina and Spiessl, H. and Cording, Clemens (2005) Who comes from whom and who goes to whom? Pathways of psychiatric inpatients. NERVENARZT, 76 (7). 856-+. ISSN 0028-2804,
Full text not available from this repository. (Request a copy)Abstract
Based on data of the psychiatric basic documentation of 4066 patients, predictors of type of referral as well as outpatient aftercare were analyzed by means of logistic regression analyses. Of the patients, 25.7% were admitted without any referral, 18.4% were referred by a general practitioner, and 9.8% by a psychiatrist in private practice. Patients referred by a general practitioner suffered more frequently from an affective disorder or schizophrenia and were residents of senior citizen homes. Inpatients sent by a psychiatrist were more often residents of sheltered homes, showed a present episode lasting more than 3 months, and had undergone psychopharmacological pretreatment with an atypical antipsychotic or SSRI. Outpatient aftercare was recommended to 83.1% of inpatients: 49.4% by a general practitioner and 32.1% by a psychiatrist in private practice. Outpatient aftercare by a general practitioner was more frequent in the elderly and patients with addiction disorders. Referral by a psychiatrist in private practice as well as schizophrenia or an affective disorder led more often to outpatient aftercare by a psychiatrist. The small number of patients referred by general practitioners and psychiatrists in private practice has to become the focus of quality management.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | GENERAL HEALTH-CARE; PRIVATE-PRACTICE; MENTAL-HEALTH; PRACTITIONERS; COLLABORATION; EXPECTATIONS; PHYSICIANS; HOSPITALS; ILLNESS; SYSTEM; psychiatric care; psychiatric hospital; general practitioner; psychiatrist; quality assurance |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Psychiatrie und Psychotherapie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 07 May 2021 12:07 |
| Last Modified: | 07 May 2021 12:07 |
| URI: | https://pred.uni-regensburg.de/id/eprint/35958 |
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