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Related Experiment Videos

Changes in psychiatric consultations over ten years.

J E Grant1, W Meller, B Urevig

  • 1Department of Psychiatry, University of Minnesota, Minneapolis, MN, USA. grant045@umn.edu

General Hospital Psychiatry
|October 16, 2001
PubMed
Summary

The consultation-liaison psychiatric service evolved over ten years, serving sicker, more medically complex patients with changing demographics. This shift impacts cost-effective healthcare delivery.

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Area of Science:

  • Psychiatry
  • Health Services Research

Background:

  • General hospitals underwent significant service delivery transformations during the 1990s.
  • The role of consultation-liaison psychiatric services may have been affected by these changes.
  • A comparative analysis was needed to assess changes over time.

Purpose of the Study:

  • To compare the day-to-day functions of a consultation-liaison psychiatric service over a ten-year period.
  • To examine changes in the patient population, evaluation timing, and recommended interventions.
  • To understand the implications for cost-effective healthcare.

Main Methods:

  • Retrospective chart review of consultations.
  • Analysis of adult consultation-liaison service referrals at a university hospital.

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  • Comparison of data from two specific two-month periods: 1990 (N=75) and 2000 (N=90).

    • Main Results:

    • The patient population in 2000 showed demographic shifts: less educated, more divorced individuals, and a higher proportion of minorities.
    • Patients in 2000 presented with more severe psychiatric illnesses.
    • Patients in 2000 were also more medically complicated compared to 1990.

    Conclusions:

    • The consultation-liaison psychiatric service's patient population and clinical profile evolved significantly between 1990 and 2000.
    • These changes suggest an increasing complexity of cases managed by these services.
    • The findings highlight the need to consider these evolving patient needs in the context of cost-effective healthcare strategies.