Bridging the gap: monthly telephone calls to enhance collaboration between primary care physicians and psychiatrists.
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| Název: | Bridging the gap: monthly telephone calls to enhance collaboration between primary care physicians and psychiatrists. |
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| Autoři: | Vasudev K; Outpatient Psychiatry, London Health Sciences Centre, London, Ontario, Canada kamini.vasudev@lhsc.on.ca.; Department of Psychiatry, Western University, London, Ontario, Canada., Fernando S; Department of Psychiatry, Western University, London, Ontario, Canada. |
| Zdroj: | BMJ open quality [BMJ Open Qual] 2025 Aug 04; Vol. 14 (3). Date of Electronic Publication: 2025 Aug 04. |
| Způsob vydávání: | Journal Article |
| Jazyk: | English |
| Informace o časopise: | Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 101710381 Publication Model: Electronic Cited Medium: Internet ISSN: 2399-6641 (Electronic) Linking ISSN: 23996641 NLM ISO Abbreviation: BMJ Open Qual Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BMJ Publishing Group |
| Výrazy ze slovníku MeSH: | Intersectoral Collaboration* , Mental Health Services*/organization & administration , Mental Health Services*/trends , Primary Health Care*/organization & administration , Primary Health Care*/trends , Remote Consultation*/organization & administration , Remote Consultation*/trends, Humans ; Cooperative Behavior ; Feasibility Studies ; Ontario ; Physicians, Primary Care/organization & administration ; Physicians, Primary Care/psychology ; Physicians, Primary Care/trends ; Pilot Projects ; Psychiatrists/organization & administration ; Psychiatrists/trends ; Quality Improvement ; Telephone ; Professional Practice Gaps/organization & administration ; Professional Practice Gaps/trends |
| Abstrakt: | Competing Interests: Competing interests: Both authors completed the ICMJE disclosure form (accessible at: http://www.icmje.org/coi_disclosure.pdfhttp://www.icmje.org/coi_disclosure.pdf, available upon request from the corresponding author) and declare the following: 1. None of the authors received support or funding from any company that could influence the submitted work in the past 3 years; 2. No author’s spouse, partner or children have financial relationships relevant to the submitted work; and 3. None of the authors have non-financial interests related to the submitted work. Background: The integration of mental health services within primary care settings is a growing priority in Canada, driven by the need to improve access and ensure comprehensive patient-centred care. This year-long pilot quality improvement (QI) project was conducted to examine the feasibility and impact of introducing monthly telephone consultations between primary care physicians (PCPs) and psychiatrists working at a secondary care regional hospital in Ontario, Canada. Methods: PCPs were connected with a team of psychiatrists via email on a voluntary basis. Once connected, PCPs were encouraged to contact psychiatrists by text or email to book monthly telephone consultation for patient care. Results: A total of seven PCPs and five psychiatrists participated in this project. A total of 66 patients were discussed via telephone consultations between PCPs and psychiatrists and 11 of these patients were referred to psychiatry for further assessment. The number of referrals to psychiatry O-P service from the seven PCPs involved in this pilot decreased from 83 for the period of November 2021 to October 2022 to 53 for the period of this project, that is, November 2022 to October 2023.There were initial challenges in scheduling consultations due to busy practices. After the first few months of regular monthly contact, three psychiatrists reported fewer ongoing contacts with PCPs and that PCPs email them on an as needed basis. Two psychiatrists continued to have ongoing 4-6 weeks contact with their assigned PCP, discussing on average 3-4 patients, after 1 year.Psychiatrists found the telephone meetings productive and the PCPs were appreciative of the support provided and were willing to take over the primary care of some patients under the care of the psychiatrists, who had medical needs but no PCP. Conclusion: This pilot QI project confirms the feasibility and successful collaborations between PCPs and psychiatrists through monthly phone calls. (© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.) |
| References: | Medicine (Baltimore). 2022 Dec 30;101(52):e32554. (PMID: 36595989) Can J Psychiatry. 2023 May;68(5):372-398. (PMID: 36688252) |
| Contributed Indexing: | Keywords: Mental health; Patient-centred care; Quality improvement |
| Entry Date(s): | Date Created: 20250804 Date Completed: 20250806 Latest Revision: 20250807 |
| Update Code: | 20250807 |
| PubMed Central ID: | PMC12323526 |
| DOI: | 10.1136/bmjoq-2025-003328 |
| PMID: | 40759529 |
| Databáze: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Competing Interests: Competing interests: Both authors completed the ICMJE disclosure form (accessible at: http://www.icmje.org/coi_disclosure.pdfhttp://www.icmje.org/coi_disclosure.pdf, available upon request from the corresponding author) and declare the following: 1. None of the authors received support or funding from any company that could influence the submitted work in the past 3 years; 2. No author’s spouse, partner or children have financial relationships relevant to the submitted work; and 3. None of the authors have non-financial interests related to the submitted work.<br />Background: The integration of mental health services within primary care settings is a growing priority in Canada, driven by the need to improve access and ensure comprehensive patient-centred care. This year-long pilot quality improvement (QI) project was conducted to examine the feasibility and impact of introducing monthly telephone consultations between primary care physicians (PCPs) and psychiatrists working at a secondary care regional hospital in Ontario, Canada.<br />Methods: PCPs were connected with a team of psychiatrists via email on a voluntary basis. Once connected, PCPs were encouraged to contact psychiatrists by text or email to book monthly telephone consultation for patient care.<br />Results: A total of seven PCPs and five psychiatrists participated in this project. A total of 66 patients were discussed via telephone consultations between PCPs and psychiatrists and 11 of these patients were referred to psychiatry for further assessment. The number of referrals to psychiatry O-P service from the seven PCPs involved in this pilot decreased from 83 for the period of November 2021 to October 2022 to 53 for the period of this project, that is, November 2022 to October 2023.There were initial challenges in scheduling consultations due to busy practices. After the first few months of regular monthly contact, three psychiatrists reported fewer ongoing contacts with PCPs and that PCPs email them on an as needed basis. Two psychiatrists continued to have ongoing 4-6 weeks contact with their assigned PCP, discussing on average 3-4 patients, after 1 year.Psychiatrists found the telephone meetings productive and the PCPs were appreciative of the support provided and were willing to take over the primary care of some patients under the care of the psychiatrists, who had medical needs but no PCP.<br />Conclusion: This pilot QI project confirms the feasibility and successful collaborations between PCPs and psychiatrists through monthly phone calls.<br /> (© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.) |
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| ISSN: | 2399-6641 |
| DOI: | 10.1136/bmjoq-2025-003328 |