Patient adherence to out-patient psychiatric care for neurotic and affective disorders (Should I stay, or should I go?)
Introduction Referral is not a necessity for a patient who wants to get psychiatrist consultation in Latvia. The good thing about it is the availability and the possibility to consult with highest educated mental health specialist for any person in society without barriers. On the other hand, there...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S092493382201584X/type/journal_article |
| _version_ | 1797617160471707648 |
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| author | A. Soboļevs K. Kozlova E. Tērauds L. Sīle |
| author_facet | A. Soboļevs K. Kozlova E. Tērauds L. Sīle |
| author_sort | A. Soboļevs |
| collection | DOAJ |
| description |
Introduction
Referral is not a necessity for a patient who wants to get psychiatrist consultation in Latvia. The good thing about it is the availability and the possibility to consult with highest educated mental health specialist for any person in society without barriers. On the other hand, there is an overwhelming work load for psychiatrists.
Objectives
To explore the prevalence of self-referred patients in out-patient care and the adherence to psychiatrist recommendations.
Methods
The medical documentation of all consecutive first-time out-patient center “Pardaugava” psychiatrist patients over the period of 01.01.2020. to 30.04.2020. with one year follow-up was analyzed.
Results
236 patients were included in the study, 31.2% of them were men. The average age was 49 (SD ± 22.65) years. Patients with Affective (F3X) and Neurotic (F4X) disorders were self-referred more often compared to Organic mental (F0X) disorder or other spectrum patients (83.3% and 77.5% vs 33.3% or 56.0%, p<0.001). Median appointment count was 4, higher in F4X (6) and lower in F3X patients (2). Majority of F4X patients (61,6%) did not follow the recommendations or stopped seeing psychiatrist, while only 13,7% were persistent. Сonversely, 48,4% of F3X patients followed the recommendations and only 43,5% stopped. In comparison, other spectrum patients followed recommendations in 32.0% of cases and ignored - in 56.6%.
Conclusions
Patients were actively self-referring themselves to psychiatrist. Highest adherence to psychiatrist recommendations was found in patients with affective disorders compared to other spectrum patients. In contrast, adherence was the lowest in patients with neurotic disorders.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:51:54Z |
| format | Article |
| id | doaj.art-cfcc7b5f6ce6452e81b6b8bfa022d0a7 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:51:54Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-cfcc7b5f6ce6452e81b6b8bfa022d0a72023-11-17T05:06:35ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S618S61810.1192/j.eurpsy.2022.1584Patient adherence to out-patient psychiatric care for neurotic and affective disorders (Should I stay, or should I go?)A. Soboļevs0K. Kozlova1E. Tērauds2L. Sīle3Rīga Stradiņš University, Faculty Of Medicine, Riga, LatviaRīga Stradiņš University, Faculty Of Medicine, Riga, LatviaRiga Centre of Psychiatry and Addiction disorder, Psychiatry And Addiction Medicine, Riga, LatviaRiga Centre of Psychiatry and Addiction disorder, Psychiatry And Addiction Medicine, Riga, Latvia Introduction Referral is not a necessity for a patient who wants to get psychiatrist consultation in Latvia. The good thing about it is the availability and the possibility to consult with highest educated mental health specialist for any person in society without barriers. On the other hand, there is an overwhelming work load for psychiatrists. Objectives To explore the prevalence of self-referred patients in out-patient care and the adherence to psychiatrist recommendations. Methods The medical documentation of all consecutive first-time out-patient center “Pardaugava” psychiatrist patients over the period of 01.01.2020. to 30.04.2020. with one year follow-up was analyzed. Results 236 patients were included in the study, 31.2% of them were men. The average age was 49 (SD ± 22.65) years. Patients with Affective (F3X) and Neurotic (F4X) disorders were self-referred more often compared to Organic mental (F0X) disorder or other spectrum patients (83.3% and 77.5% vs 33.3% or 56.0%, p<0.001). Median appointment count was 4, higher in F4X (6) and lower in F3X patients (2). Majority of F4X patients (61,6%) did not follow the recommendations or stopped seeing psychiatrist, while only 13,7% were persistent. Сonversely, 48,4% of F3X patients followed the recommendations and only 43,5% stopped. In comparison, other spectrum patients followed recommendations in 32.0% of cases and ignored - in 56.6%. Conclusions Patients were actively self-referring themselves to psychiatrist. Highest adherence to psychiatrist recommendations was found in patients with affective disorders compared to other spectrum patients. In contrast, adherence was the lowest in patients with neurotic disorders. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S092493382201584X/type/journal_articleout-patient affective disordersPatient adherenceneurotic disorders |
| spellingShingle | A. Soboļevs K. Kozlova E. Tērauds L. Sīle Patient adherence to out-patient psychiatric care for neurotic and affective disorders (Should I stay, or should I go?) European Psychiatry out-patient affective disorders Patient adherence neurotic disorders |
| title | Patient adherence to out-patient psychiatric care for neurotic and affective disorders (Should I stay, or should I go?) |
| title_full | Patient adherence to out-patient psychiatric care for neurotic and affective disorders (Should I stay, or should I go?) |
| title_fullStr | Patient adherence to out-patient psychiatric care for neurotic and affective disorders (Should I stay, or should I go?) |
| title_full_unstemmed | Patient adherence to out-patient psychiatric care for neurotic and affective disorders (Should I stay, or should I go?) |
| title_short | Patient adherence to out-patient psychiatric care for neurotic and affective disorders (Should I stay, or should I go?) |
| title_sort | patient adherence to out patient psychiatric care for neurotic and affective disorders should i stay or should i go |
| topic | out-patient affective disorders Patient adherence neurotic disorders |
| url | https://www.cambridge.org/core/product/identifier/S092493382201584X/type/journal_article |
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