Satisfaction of a new telephone consultation service for prenatal and postnatal health care

2019 ◽  
Vol 45 (7) ◽  
pp. 1376-1381 ◽  
Author(s):  
Hiroshi Kobayashi ◽  
Toshiyuki Sado
Author(s):  
Bianca Reis ◽  
Jenny Hsin-Chun Tsai

OBJECTIVE This practice improvement project sought to determine the prevalence of psychiatric diagnoses among patients admitted to a community hospital’s inpatient medical units and which diagnoses were serviced by the hospital’s psychiatric consultation service. METHOD Electronic medical record data on adult patients of five medical units admitted with a psychiatric condition between October 1, 2019, and December 31, 2019, were used. Psychiatric ICD-10 ( International Classification of Diseases, 10th Revision) codes and diagnosis names extracted were categorized into seven major diagnostic groups. A total of 687 adult patients with 82 psychiatric ICD-10 codes were analyzed using descriptive statistics. RESULTS Substance-related and addictive disorders were the most prevalent psychiatric diagnoses. Ninety-six percent ( n = 658) of patients residing on medical floors with psychiatric disorders were hospitalized for a principal medical problem. Seventy-three cases received psychiatric consultations during their stay. Sixty percent ( n = 44) of those cases had psychiatric disorders from two or more diagnostic categories. CONCLUSIONS Multidisciplinary, team-based health care delivery models that include a psychiatric nurse can provide an effective approach to treat patients in community hospitals with multiple psychiatric and medical comorbidities. Hospitals could take a significant role in providing substance use disorder treatment and equipping medical nurses with training to competently care for patients with psychiatric disorders on medical units. Further research into the prevalence and impact of patients with co-occurring and multiple psychiatric diagnoses in community hospitals is needed to implement effective health care delivery models and provide appropriate treatment options in the community.


Author(s):  
S.M. Miguela Álvarez ◽  
A. Bartra Ylla ◽  
J. Salvador Carreño ◽  
P. Castillón ◽  
C. García Cardona ◽  
...  

2021 ◽  
Vol 108 (4) ◽  
pp. 457-474
Author(s):  
Nicolas Rabain

This article is an account of a pioneering multifamily group for transgender adolescents. Meetings were conducted in a Sexual Identity Consultation Service in a Child and Adolescent Psychiatry Department in Paris. In addition to enabling both teenagers and their parents to escape a certain form of isolation, this novel mental health care setting also reinforced the ability of participants to free associate and to cathect substitute objects. The author highlights specific characteristics of transference movements and countertransference reactions of the therapists in this framework. An additional goal is to promote these innovative groups and to recommend similar groups for transgender adolescents and their parents.


Avicenna ◽  
2021 ◽  
Vol 2022 (1) ◽  
Author(s):  
Yaman M. AlAhmad ◽  
Duaa Mahmoud Haggeer ◽  
Abrar Yaser Alsayed ◽  
Mahmoud Y. Haik ◽  
Leen Maen AbuAfifeh ◽  
...  

Introduction: Telemedicine is the delivery of health care services to patients distantly. During the Coronavirus Disease 2019 (COVID-19) pandemic, telemedicine has become an essential implement in delivering healthcare services worldwide. Accordingly, in March 2020, the Primary Health Care Centers (PHCCs) in Qatar has started telephone consultation follow-up appointments in Family Medicine (FM) clinics instead of conventional consultation. Given the limited data about telephone consultations in Qatar, our aim of this study is to investigate the possible impact of telemedicine on chronic disease patients’ follow-up compliance. Methods: This study compares the compliance of adult patients with chronic diseases following-up within FM clinics in Qatar's PHCC through telephone consultations with a minimum of three telephone consultations ordered between April to November 2020, in comparison to the compliance of the same group of patients to their prior face-to-face follow-up consultations in FM clinics with a minimum of three face-to-face ordered follow up appointments between April to November 2019. A cross-sectional study will be carried out to investigate the effect of telephone consultation in PHCC on patients’ compliance with reference to conventional face-to-face consultation. Patients’ data will be received from Health Information Management in twenty-seven PHCCs in Qatar. Conclusion: Due to the limited studies on the effectiveness of telemedicine on patient compliance in FM follow-ups within Qatar's PHCC, comparing patients’ follow-up compliance with telephone consultations to their prior face-to-face consultations would be helpful in assessing patients’ quality of care delivering within FM clinics. With telecommunication being easily accessible and time-efficient, it is believed, when used correctly, it might improve compliance and adherence to the management prescribed by the physician and follow-up appointments in Qatar's PHCC. In addition, this study will help in providing recommendations that could guide the organization on forming policies to be applied in PHCCs after the resolution of the COVID-19 pandemic.


2015 ◽  
Vol 8 (1) ◽  
Author(s):  
Shunsuke Kondo ◽  
Satoshi Shiba ◽  
Ryoko Udagawa ◽  
Yasuaki Ryushima ◽  
Miho Yano ◽  
...  

2011 ◽  
Vol 17 (6) ◽  
pp. 420-426 ◽  
Author(s):  
Charles Karari ◽  
Robin Tittle ◽  
Jeremy Penner ◽  
Jayne Kulzer ◽  
Elizabeth A. Bukusi ◽  
...  

2010 ◽  
Vol 28 (1) ◽  
pp. 64-70 ◽  
Author(s):  
N. Morimura ◽  
T. Aruga ◽  
T. Sakamoto ◽  
N. Aoki ◽  
S. Ohta ◽  
...  

Author(s):  
Anood Alshaali ◽  
Soha Abd ElAziz ◽  
Amal Aljaziri ◽  
Tamer Farid ◽  
Mona Sobhy

Background: The emergence of the COVID-19 pandemic has changed the delivery of medical care across the world.  The objective of the study is to understand and document the preventive steps implemented on geriatric services in the primary health care centers during COVID-19 pandemic. Design and Methods: This is a retrospective study carried on geriatric services utilization (Geriatric clinic- osteoporosis clinic – Memory and dementia clinic) in primary health care centers in Dubai Health Authority in 2020.Results: The study showed that the overall in person visits for all geriatric service in 2020 declined by almost 70%. The total number of telephone consultations in geriatric clinics, osteoporosis clinics and memory clinics were 1479, 1149 and 104 respectively. The COVID-19 pandemic had led to a reduction in most of the geriatric services including outpatient clinics, screening and referral. Telephone consultation provided a foundation for delivery of the service.Conclusion: This study reflected the potential for telehealth services to bring benefits and convenience to the geriatric population, even after the end of the pandemic.


PEDIATRICS ◽  
1972 ◽  
Vol 50 (2) ◽  
pp. 307-311
Author(s):  
Russell W. Mapes ◽  
Elmore W. Lewis ◽  
David G. Covell ◽  
Hugh M. Peterson ◽  
Phil R. Manning

A pediatric telephone consultation service with consultants based at Childrens Hospital of Los Angeles has been made available to a group of physicians practicing in Southern California. Data collected reveal that this service has been utilized by many pediatricians and general practitioners. Ninety-one percent of the calling physicians indicated that they were helped by the consultation, and in over one-third of the instances both the practitioner and the consultant felt that the outcome of the problem was changed by the consultation. In the majority of instances, incoming calls were efficiently handled by an experienced nurse-operator and an appropriate consultant was made available within 5 minutes 38% of the time and within 1 hour in 86% of all calls. Among the pediatric telephone consultants who provided the service, the majority (76%) felt that this kind of service, if expanded, would favorably affect patient care in a signifficant way. Among practitioners who used the service, 94% asked that such a service be continued.


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