Recent changes in consultation-liaison psychiatry : a blueprint for the future.
To better understand the changes in the past 5 years on consultation-liaison (C-L) services in the United States, 119 university programs were surveyed.
The return response was 64%. Of the 76 respondents, 32% had decreased funding, 54% no changes or stable funding, and 14% improved funding.
Nonetheless, 57% of the programs reported funding difficulties as a major problem.
Understaffing was reported by 51% of the programs.
Liaison activities have ceased or are reduced in 70% of the programs ; 15% reported an increase in liaison, particularly for transplantation.
C-L services have been affected by illness acuity (68%), shorter hospital stays (79%), and older populations (54%). The diagnostic mix shows increases in HIV-related disorders, drug abuse, and delirium.
The discussion includes recommendations for C-L services given these findings. (Psychosomatics 1995 ; 36 : 95-102).
Mots-clés Pascal : Psychiatrie liaison, Service santé, Hôpital, Evolution, Organisation santé, Enquête, Etats Unis, Amérique du Nord, Amérique, Economie santé, Personnel sanitaire, Santé mentale, Homme
Mots-clés Pascal anglais : Liaison psychiatry, Health service, Hospital, Evolution, Public health organization, Inquiry, United States, North America, America, Health economy, Health staff, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0473351
Code Inist : 002B18H05B. Création : 01/03/1996.