Progress and evaluation of a consultation-liaison psychiatry service to an obstetric-gynaecology hospital.
Recently we described the establishment and first 6 months of a psychiatric consultation-liaison service to a Melbourne obstetric-gynaecology teaching hospital.
The follow-up report evaluates the service in two ways : first, it compares referral data for the 12 months of 1992 with that of the first 6 months of operation in 1990 ; and second, it reports on results of a survey of referrer and patient satisfaction with the service.
Referral data were collected for the data comparison from the consultation-liaison referral book and patients'files.
Referrer and patient satisfaction was evaluated by questionnaires sent to 45 medical staff, 7 charge nurses, and 100 consecutive patients.
A fairly constant referral rate for inpatients has emerged at 0.8%, this very low referral rate being some cause for concern.
An internal shift in the type of referrals over time has developed, with an increase in obstetric and a decrease in gynaecology referrals.
High referrer satisfaction, with 86% of the doctors finding the consultation (s) « very » or « quite » helpful, and high patient satisfaction, with 83% of respondents having found the consultation (s) « very » or « quite » helpful, was found.
Despite high referrer and consumer satisfaction, and objective evidence of need, this pioneering consultation-liaison service in obstetric-gynaecology continues to be grossly under-utilised. (...)
Mots-clés Pascal : Service hospitalier, Obstétrique, Psychiatrie liaison, Centre hospitalier universitaire, Australie, Océanie, Etude longitudinale, Utilisation, Service santé, Satisfaction, Malade, Orientation, Homme, Filière soin
Mots-clés Pascal anglais : Hospital ward, Obstetrics, Liaison psychiatry, Teaching hospital, Australia, Oceania, Follow up study, Use, Health service, Satisfaction, Patient, Orientation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0323418
Code Inist : 002B18H05B. Création : 10/04/1997.