scholarly journals Strategies of Collaboration between General Practitioners and Psychiatrists: A Survey of Practitioners' Opinions and Characteristics

2002 ◽  
Vol 47 (8) ◽  
pp. 750-758 ◽  
Author(s):  
Ricardo J M Lucena ◽  
Alain Lesage ◽  
Robert Élie ◽  
Yves Lamontagne ◽  
Marc Corbière

Background: The description of collaboration models and the key underlying principles provide important information for designing services. However, to apply this broad corpus of information to clinical services and policymaking, we need to know which key principles (or strategies) of collaboration are the most accepted by local physicians. Method: In this context, we designed a survey that included 2 objectives: 1) to collect the opinions of practising general practitioners (GPs) and psychiatrists in Montreal with respect to strategies for improving collaboration between these 2 groups and 2) to identify demographic and practice characteristics of those physicians associated with the acceptance of such strategies. We designed a questionnaire to specifically elicit physicians' opinions about strategies involving communication, continuing medical education (CME) for GPs in psychiatry, and access to consulting psychiatrists, as well as to identify the profiles of the respondent physicians. We mailed the questionnaire to 203 GPs and 203 psychiatrists who were randomly selected. Results: The response rate was 86% for GPs and 87% for psychiatrists. Physicians expressed favourable opinions about most strategies involving 1) the improvement of communication and 2) the organization of CME activities concerning GP practices in the field of psychiatry. On the other hand, they did not indicate acceptance of the strategies involving on-site collaboration between GPs and psychiatrists. Physician age, sex, place of practice, type of practice (such as seeing patients with or without appointments), and responsibility for administrative duties associated significantly with the degree of acceptance of the proposed strategies Conclusion: Communication and CME strategies for GPs in psychiatry can be an option to improve collaboration between GPs and psychiatrists. However, strategies of access to consulting psychiatrists require significant alterations to established clinical routines and professional roles.

2021 ◽  
pp. e2021033
Author(s):  
Tine Vestergaard ◽  
Merethe K. Andersen ◽  
Anette Bygum

Background: Teledermoscopy can be used to triage referrals of suspected skin cancers, thereby reducing waiting time and number of face-to-face consultations with a dermatologist. However, the success of the implementation of this technology in part relies on the acceptance of the providers. Objectives: This study assessed the attitudes towards teledermoscopy of referring general practitioners and consultant dermatologists. Methods: General practitioners from 48 practices and 3 dermatologists in the region of Southern Denmark, who had previous experience with teledermoscopy, were invited to answer questionnaires on their acceptance of the technology. Results: General practitioners from 23 practices responded. All domains of the questionnaire received high scores, indicating a high degree of acceptance of teledermoscopy among respondents. All 3 dermatologists agreed that teledermoscopy was useful for triaging referrals, but they were less confident in their diagnoses and management plans proposed by teledermoscopy than in traditional face-to-face evaluations of patients. Two of the 3 dermatologists were satisfied with using teledermoscopy as a consult method. Conclusions: This study reports high levels of provider acceptance of teledermoscopy. However, a low response rate among general practitioners may limit its generalizability.


2002 ◽  
Vol 20 (4) ◽  
pp. 198-200 ◽  
Author(s):  
Jan E. Nielsen ◽  
Jørgen Lous ◽  
Haagen F. Adeler ◽  
Peder Olesgaard ◽  
Roar R. Maagaard ◽  
...  

2013 ◽  
Vol 10 (4) ◽  
pp. 1489-1495
Author(s):  
Arindam Garai ◽  
Tapan Kumar Roy

This paper presents the concept of usage of hesitation index in optimization problem under uncertainty. Our technique is an extension of idea of intuitionistic fuzzy optimization technique, proposed by Plamen P. Angelov in 1997, which is widely considered as a successful intuitionistic fuzzy optimization tool by researchers all over the world. It is well known that the advantages of the intuitionistic fuzzy optimization problems are twofold: firstly, they give the richest apparatus for formulation of optimization problems and on the other hand, the solution of intuitionistic fuzzy optimization problems can satisfy the objective(s) with bigger degree of satisfaction than the analogous fuzzy optimization problem and the crisp one. Angelov’s approach is an application of the intuitionistic fuzzy (IF) set concept to optimization problems. In his approach, the degree of acceptance is maximized while the degree of rejection is minimized. In our approach, not only the degree of acceptance is maximized and the degree of rejection is minimized but also the degree of hesitation is minimized. For the sake simplicity alone, the same problem, as studied by Angelov, is considered. Varied importance (and hence weights) to each of the degree of acceptance and the degree of rejection and the degree of hesitation have been given. Tables with these results are formulated and compared among.


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