2022年苏格兰联络精神科服务：对国民保健服务健康委员会的在线调查
Liaison psychiatry services in Scotland, 2022: online survey of NHS health boards.
作者信息
Shankar Prakash, Smith Murray
机构信息
Forth Valley Royal Hospital, Larbert, UK.
Aberdeen Royal Infirmary, Aberdeen, UK.
出版信息
BJPsych Bull. 2023 Sep 4;48(4):1-8. doi: 10.1192/bjb.2023.68.
AIMS AND METHOD
Liaison psychiatry services have seen significant developments the UK. Regular surveys of liaison psychiatry in England have contributed to this, but it has not attracted the same interest in Scotland, with only a mention and no commitments in the Scottish Government's Mental Health Strategy. There have been no comprehensive surveys in Scotland and this study was an attempt to explore provisioning of services. A questionnaire was sent to liaison psychiatry services in the mainland Scottish National Health Service (NHS) health boards.
RESULTS
Responses obtained from all 11 boards revealed considerable variation in service provisioning. Services provided through acute rather than mental health directorates seem significantly better resourced.
CLINICAL IMPLICATIONS
Liaison psychiatry services can improve care for patients but require adequate resources to do so. There are limited quality standards for Scottish liaison services, unlike other devolved nations, leading to variation in provision. This survey will assist in designing quality standards for liaison psychiatry in Scotland.
目的与方法
联络精神病学服务在英国有了显著发展。英格兰定期开展的联络精神病学调查对此起到了推动作用，但在苏格兰却未引起同样的关注，苏格兰政府的《心理健康战略》中只是提及了一下，并未作出承诺。苏格兰此前没有进行过全面调查，本研究旨在探索服务的提供情况。向苏格兰大陆国民保健服务（NHS）健康委员会的联络精神病学服务部门发放了一份调查问卷。
结果
从所有11个委员会获得的回复显示，服务提供情况存在很大差异。通过急症科而非精神科提供的服务似乎资源更为充足。
临床意义
联络精神病学服务能够改善对患者的护理，但需要有足够的资源才能做到。与其他下放权力的国家不同，苏格兰联络服务的质量标准有限，导致服务提供存在差异。这项调查将有助于制定苏格兰联络精神病学的质量标准。
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