Family doctors and psychologists working together: doctors' and patients' perspectives
Background Strategies to improve primary care in the Canadian Primary Care Reform include integrating different professionals to the medical team. Objective This demonstration project explores the perceived impact on doctors and patients, of having family doctors and psychologists work together. S...
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| Veröffentlicht in: | Journal of evaluation in clinical practice 2011-04, Vol.17 (2), p.282-287 |
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| container_title | Journal of evaluation in clinical practice |
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| creator | Chomienne, Marie-Hélène Grenier, Jean Gaboury, Isabelle Hogg, William Ritchie, Pierre Farmanova-Haynes, Elina |
| description | Background Strategies to improve primary care in the Canadian Primary Care Reform include integrating different professionals to the medical team.
Objective This demonstration project explores the perceived impact on doctors and patients, of having family doctors and psychologists work together.
Setting Two family practices of Eastern Ontario, Canada
Methods Two board certified psychologists (one per practice) were integrated in the practices for 12 months. Psychologists conducted assessments, consultations and short‐term treatments, as well as knowledge‐transfer sessions for doctors. Outcome measures included referral patterns, patient outcomes, patient and provider satisfaction as well as doctors' billing.
Results Three hundred and seventy‐six participants received psychological care; most were women (68%) and between the ages of 25–64 (67%). Anxiety and depression were the most prevalent diagnoses. Reasons for referral included: psychological treatment (70%); emotional support and counselling (35%); clarification of diagnosis and case conceptualization (25%). Referrals could be for more than one reason. After intervention, 60% of patients had improvement on the outcome questionnaire‐45 (OQ‐45). Quality of life as measured by the EuroQol‐5D also improved (P |
| doi_str_mv | 10.1111/j.1365-2753.2010.01437.x |
| format | Article |
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Objective This demonstration project explores the perceived impact on doctors and patients, of having family doctors and psychologists work together.
Setting Two family practices of Eastern Ontario, Canada
Methods Two board certified psychologists (one per practice) were integrated in the practices for 12 months. Psychologists conducted assessments, consultations and short‐term treatments, as well as knowledge‐transfer sessions for doctors. Outcome measures included referral patterns, patient outcomes, patient and provider satisfaction as well as doctors' billing.
Results Three hundred and seventy‐six participants received psychological care; most were women (68%) and between the ages of 25–64 (67%). Anxiety and depression were the most prevalent diagnoses. Reasons for referral included: psychological treatment (70%); emotional support and counselling (35%); clarification of diagnosis and case conceptualization (25%). Referrals could be for more than one reason. After intervention, 60% of patients had improvement on the outcome questionnaire‐45 (OQ‐45). Quality of life as measured by the EuroQol‐5D also improved (P < 0.001). Over 77% of patients reported increased confidence in handling their problems after treatment. Compared with their family doctor, patients felt the psychologist had more time and was better trained (75%) Doctors felt mental health problems were diagnosed more rapidly, patient care improved as well as their own knowledge of psychological management and treatment. Doctors felt it freed up their time and improved working conditions. Audit of the doctors' billing showed reduction in doctors' mental health billing.
Conclusions Having an on‐site psychologist was highly satisfactory for patients and providers, resulting in improved patient care and outcomes.</description><identifier>ISSN: 1356-1294</identifier><identifier>EISSN: 1365-2753</identifier><identifier>DOI: 10.1111/j.1365-2753.2010.01437.x</identifier><identifier>PMID: 20874836</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Child ; collaboration ; Cooperative Behavior ; family practice ; Female ; Humans ; Interdisciplinary Communication ; Interprofessional Relations ; Male ; Middle Aged ; Ontario ; Patient Satisfaction ; Physicians, Family - psychology ; primary care ; Primary Health Care ; primary mental health care ; psychologist ; Psychology ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Journal of evaluation in clinical practice, 2011-04, Vol.17 (2), p.282-287</ispartof><rights>2010 Blackwell Publishing Ltd</rights><rights>2010 Blackwell Publishing Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4067-4c3c89080fd78b1bda06a15cab3c9b9be20150ebd67d726e88479a1a06253c953</citedby><cites>FETCH-LOGICAL-c4067-4c3c89080fd78b1bda06a15cab3c9b9be20150ebd67d726e88479a1a06253c953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2753.2010.01437.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2753.2010.01437.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20874836$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chomienne, Marie-Hélène</creatorcontrib><creatorcontrib>Grenier, Jean</creatorcontrib><creatorcontrib>Gaboury, Isabelle</creatorcontrib><creatorcontrib>Hogg, William</creatorcontrib><creatorcontrib>Ritchie, Pierre</creatorcontrib><creatorcontrib>Farmanova-Haynes, Elina</creatorcontrib><title>Family doctors and psychologists working together: doctors' and patients' perspectives</title><title>Journal of evaluation in clinical practice</title><addtitle>J Eval Clin Pract</addtitle><description>Background Strategies to improve primary care in the Canadian Primary Care Reform include integrating different professionals to the medical team.
Objective This demonstration project explores the perceived impact on doctors and patients, of having family doctors and psychologists work together.
Setting Two family practices of Eastern Ontario, Canada
Methods Two board certified psychologists (one per practice) were integrated in the practices for 12 months. Psychologists conducted assessments, consultations and short‐term treatments, as well as knowledge‐transfer sessions for doctors. Outcome measures included referral patterns, patient outcomes, patient and provider satisfaction as well as doctors' billing.
Results Three hundred and seventy‐six participants received psychological care; most were women (68%) and between the ages of 25–64 (67%). Anxiety and depression were the most prevalent diagnoses. Reasons for referral included: psychological treatment (70%); emotional support and counselling (35%); clarification of diagnosis and case conceptualization (25%). Referrals could be for more than one reason. After intervention, 60% of patients had improvement on the outcome questionnaire‐45 (OQ‐45). Quality of life as measured by the EuroQol‐5D also improved (P < 0.001). Over 77% of patients reported increased confidence in handling their problems after treatment. Compared with their family doctor, patients felt the psychologist had more time and was better trained (75%) Doctors felt mental health problems were diagnosed more rapidly, patient care improved as well as their own knowledge of psychological management and treatment. Doctors felt it freed up their time and improved working conditions. Audit of the doctors' billing showed reduction in doctors' mental health billing.
Conclusions Having an on‐site psychologist was highly satisfactory for patients and providers, resulting in improved patient care and outcomes.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>collaboration</subject><subject>Cooperative Behavior</subject><subject>family practice</subject><subject>Female</subject><subject>Humans</subject><subject>Interdisciplinary Communication</subject><subject>Interprofessional Relations</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Ontario</subject><subject>Patient Satisfaction</subject><subject>Physicians, Family - psychology</subject><subject>primary care</subject><subject>Primary Health Care</subject><subject>primary mental health care</subject><subject>psychologist</subject><subject>Psychology</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>1356-1294</issn><issn>1365-2753</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMlOwzAQhi0EomyvgHLjlGLH8RIkDgi1ZRNwYDlajjNtU9I62Clt3x6HQM_44hn7-8fyh1BEcJ-EdT7rE8pZnAhG-wkOp5ikVPTXO-hge7Hb1ozHJMnSHjr0foYxoZiJfdRLsBSppPwAvQ31vKw2UWFNY52P9KKIar8xU1vZSekbH62s-ygXk6ixE2im4C7-2LMO1k0JiyZ0NThfg2nKL_DHaG-sKw8nv_sReh0OXq5v4oen0e311UNsUsxFnBpqZIYlHhdC5iQvNOaaMKNzarI8yyF8jmHICy4KkXCQMhWZJoFKWCAYPUJn3dza2c8l-EbNS2-gqvQC7NIryWmaBDctKTvSOOu9g7GqXTnXbqMIVq1UNVOtO9W6U61U9SNVrUP09PeRZT6HYhv8sxiAyw5YlRVs_j1Y3Q2e2yrk4y4fhMN6m9fuQ3FBBVPvjyMl719Sykfv6o1-AzVTlVg</recordid><startdate>201104</startdate><enddate>201104</enddate><creator>Chomienne, Marie-Hélène</creator><creator>Grenier, Jean</creator><creator>Gaboury, Isabelle</creator><creator>Hogg, William</creator><creator>Ritchie, Pierre</creator><creator>Farmanova-Haynes, Elina</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201104</creationdate><title>Family doctors and psychologists working together: doctors' and patients' perspectives</title><author>Chomienne, Marie-Hélène ; Grenier, Jean ; Gaboury, Isabelle ; Hogg, William ; Ritchie, Pierre ; Farmanova-Haynes, Elina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4067-4c3c89080fd78b1bda06a15cab3c9b9be20150ebd67d726e88479a1a06253c953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>collaboration</topic><topic>Cooperative Behavior</topic><topic>family practice</topic><topic>Female</topic><topic>Humans</topic><topic>Interdisciplinary Communication</topic><topic>Interprofessional Relations</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Ontario</topic><topic>Patient Satisfaction</topic><topic>Physicians, Family - psychology</topic><topic>primary care</topic><topic>Primary Health Care</topic><topic>primary mental health care</topic><topic>psychologist</topic><topic>Psychology</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chomienne, Marie-Hélène</creatorcontrib><creatorcontrib>Grenier, Jean</creatorcontrib><creatorcontrib>Gaboury, Isabelle</creatorcontrib><creatorcontrib>Hogg, William</creatorcontrib><creatorcontrib>Ritchie, Pierre</creatorcontrib><creatorcontrib>Farmanova-Haynes, Elina</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of evaluation in clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chomienne, Marie-Hélène</au><au>Grenier, Jean</au><au>Gaboury, Isabelle</au><au>Hogg, William</au><au>Ritchie, Pierre</au><au>Farmanova-Haynes, Elina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Family doctors and psychologists working together: doctors' and patients' perspectives</atitle><jtitle>Journal of evaluation in clinical practice</jtitle><addtitle>J Eval Clin Pract</addtitle><date>2011-04</date><risdate>2011</risdate><volume>17</volume><issue>2</issue><spage>282</spage><epage>287</epage><pages>282-287</pages><issn>1356-1294</issn><eissn>1365-2753</eissn><abstract>Background Strategies to improve primary care in the Canadian Primary Care Reform include integrating different professionals to the medical team.
Objective This demonstration project explores the perceived impact on doctors and patients, of having family doctors and psychologists work together.
Setting Two family practices of Eastern Ontario, Canada
Methods Two board certified psychologists (one per practice) were integrated in the practices for 12 months. Psychologists conducted assessments, consultations and short‐term treatments, as well as knowledge‐transfer sessions for doctors. Outcome measures included referral patterns, patient outcomes, patient and provider satisfaction as well as doctors' billing.
Results Three hundred and seventy‐six participants received psychological care; most were women (68%) and between the ages of 25–64 (67%). Anxiety and depression were the most prevalent diagnoses. Reasons for referral included: psychological treatment (70%); emotional support and counselling (35%); clarification of diagnosis and case conceptualization (25%). Referrals could be for more than one reason. After intervention, 60% of patients had improvement on the outcome questionnaire‐45 (OQ‐45). Quality of life as measured by the EuroQol‐5D also improved (P < 0.001). Over 77% of patients reported increased confidence in handling their problems after treatment. Compared with their family doctor, patients felt the psychologist had more time and was better trained (75%) Doctors felt mental health problems were diagnosed more rapidly, patient care improved as well as their own knowledge of psychological management and treatment. Doctors felt it freed up their time and improved working conditions. Audit of the doctors' billing showed reduction in doctors' mental health billing.
Conclusions Having an on‐site psychologist was highly satisfactory for patients and providers, resulting in improved patient care and outcomes.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20874836</pmid><doi>10.1111/j.1365-2753.2010.01437.x</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Child collaboration Cooperative Behavior family practice Female Humans Interdisciplinary Communication Interprofessional Relations Male Middle Aged Ontario Patient Satisfaction Physicians, Family - psychology primary care Primary Health Care primary mental health care psychologist Psychology Surveys and Questionnaires Young Adult |
| title | Family doctors and psychologists working together: doctors' and patients' perspectives |
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