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Second Opinions in Psychiatry: A Review
Sabina C Heuss1, Bruce J Schwartz, Andres R Schneeberger
1HEUSS: Department of Communication and Marketing, University of Applied Sciences Northwestern Switzerland FHNW, Olten, Switzerland SCHWARTZ: Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY SCHNEEBERGER: Psychiatric Services Grisons, Chur, Switzerland and Albert Einstein College of Medicine, Bronx, NY.
Journal of Psychiatric Practice
|November 6, 2018
Summary
Second opinions are underutilized in psychiatry despite their growing importance in other medical fields. Barriers include stigma and the complex stakeholder landscape, hindering potential benefits for psychiatric care.
Area of Science:
- Psychiatry
- Health Services Research
Background:
- Second opinions are increasingly vital in healthcare due to rising costs and patient-initiated requests via the internet.
- Despite this trend, second opinions remain underemphasized in psychiatric practice.
- This article examines the unique context of second opinions within psychiatry.
Purpose of the Study:
- Identify barriers to the adoption of second opinions in psychiatric practice.
- Discuss the benefits of second opinions demonstrated in other medical disciplines.
- Outline potential gains from implementing second opinions in psychiatry.
Main Methods:
- A comprehensive literature review of medical databases was conducted.
- In-depth interviews with healthcare personnel and insurers supplemented the literature review.
Main Results:
- Second opinions are infrequently sought in psychiatry, with limited existing literature.
- Stigmatization of psychiatric disorders and the unique patient-doctor relationship in psychotherapy present significant obstacles.
- A complex network of stakeholders in mental health complicates coordinated approaches compared to somatic care.
Conclusions:
- There is no clear justification for the lack of discussion surrounding second opinions in psychiatry.
- Psychiatry can gain valuable insights by considering the outcomes of second opinions in other medical disciplines.
- Addressing barriers could enhance psychiatric care through the strategic use of second opinions.
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