The impact of a community-based consultation-liaison (C-L) psychiatry service on family physicians'levels of psychiatric knowledge, diagnostic and treatment confidence, and patterns of referral to mental health care agencies was evaluated over a 12-month period.
The physicians with long-term access to the C-L service had higher levels of psychiatric knowledge than those with short-term or no access.
However there was no evidence that the C-L-service produced changes in the physicians'levels of clinical confidence, referral likelihood, or psychiatric knowledge during the evaluation period.
Significant predictors of psychiatric knowledge were age (younger) and gender (women The participating physicians were highly satisfied with the service and preferred it over other possible referral agencies.
However community C-L services in family practice appear to have a limited role in the provision of psychiatric care and are not an efficient way for improving family physicians'levels of psychiatric knowledge or altering their practices.
The appropriate role of community C-L psychiatry may be as one component of a comprehensive service-delivery strategy integrated within ongoing, formal family-physician educational programs.
Mots-clés Pascal : Médecin généraliste, Connaissance, Aptitude professionnelle, Diagnostic, Trouble psychiatrique, Influence, Psychiatrie liaison, Consultation psychiatrique, Traitement communautaire, Pratique professionnelle, Soin santé primaire, Homme
Mots-clés Pascal anglais : General practitioner, Knowledge, Vocational aptitude, Diagnosis, Mental disorder, Influence, Liaison psychiatry, Psychiatric consultation, Community treatment, Professional practice, Primary health care, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0320929
Code Inist : 002B18H04. Création : 12/09/1997.