There has been increasing recognition and documentation of the impact of psychiatric problems on the outcome and cost of medical care.
Because consultation-liaison psychiatrists have the expertise to address the psychiatric aspects of medical illness, this group should be in a strong position to facilitate integration of medical and psychiatric services in managed care delivery systems.
Although consultation-liaison psychiatry (CLP) has documented its ability to shorten inpatient medical lengths of stay for some disorders, a greater challenge exists in developing comprehensive systems to identify and care for patients with mental health problems in primary care settings.
This paper reviews the fiscal and programmatic implications for managed medical care systems of findings from outcome-based C-L research.
The future role of CLP and combined medical-psychiatric units in an era of managed care is also discussed.
Mots-clés Pascal : Psychiatrie liaison, Consultation psychiatrique, Hôpital général, Service hospitalier, Service santé, Santé mentale, Système santé, Soin santé primaire, Etats Unis, Amérique du Nord, Amérique, Article synthèse, Homme, Soin coordonné
Mots-clés Pascal anglais : Liaison psychiatry, Psychiatric consultation, General hospital, Hospital ward, Health service, Mental health, Health system, Primary health care, United States, North America, America, Review, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0450231
Code Inist : 002B18H05B. Création : 01/03/1996.