Psychiatric consultation in general practitioners’ daily practice: a qualitative study on the experience of consultation-liaison psychiatry interventions in primary care settings in French-speaking Switzerland

BMC Primary Care

Research

Régis Marion-Veyron¹  Konstantinos Tzartzas¹  Pierre-Nicolas Oberhauser²  Stéphane Saillant³ 

[1] Department of Ambulatory Care and Community Medicine, Centre for Primary Care and Public Health, Rue du Bugnon 44, 1011, Lausanne, Switzerland;Faculty of Social and Political Sciences, University of Lausanne, Lausanne, Switzerland;Neuchâtel Psychiatry Centre, Rue de la Maladière 45, 2000, Neuchâtel, Switzerland;

关键词: Ambulatory care facilities;    Consultation-liaison psychiatry;    General practitioners;    Qualitative research;    Mental health;    Primary health care;   

DOI  :  10.1186/s12875-022-01937-y

 received in 2022-01-24, accepted in 2022-12-02,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundMental disorders are frequent in primary care settings, which is challenging for primary care physicians. In Neuchâtel (Switzerland), a Consultation-Liaison psychiatrist integrated three primary care group practices, proposing both clinical interventions and supervisions/psychiatric training. Primary care physicians’ experience regarding this collaboration was investigated.MethodsA qualitative study was conducted. Three focus groups were organized in each primary care group practice involved in the project (10 primary care physicians participated in focus groups). Data were analysed with thematic content analysis.ResultsSix major themes emerged from our analysis, describing primary care physicians’ collaboration with psychiatrists: 1) Impact on a difficult to reach and “reluctant to consult” population; 2) Fluidity of the intraprofessional collaboration; 3) Influence on the doctor-patient relationship; 4) Positive emotional experiences; 5) Psychiatric counselling and training; 6) Long-term prospects for the project.ConclusionsConsultation-Liaison psychiatrist’s presence came as a relief for participating primary care physicians, facilitating accessibility to mental healthcare, introducing a common culture of care, and offering “in-situ” psychiatric training. Primary care physicians felt that their relationships with patients benefited from such interventions, being better able to deal with complex emotional experiences and found patients more confident regarding proposed care. Models of psychiatric intervention provided in primary care must establish settings of collaboration that reinforce relationships between primary care physicians, psychiatrists, and patients.

【 授权许可】

CC BY   
© The Author(s) 2022

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