Online Consultations Between General Practitioners and Psychiatrists in the Netherlands: A Qualitative Study

Objective: To examine the nature and scope of questions about psychiatric patient cases submitted by general practitioners (GPs) to an established online consultation platform and to determine if they could have been answered by consulting existing clinical guidelines.Methods: All anonymized psychia...

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Autores principales:	Nynke W. Bock, Hans Wouters, Anne J. Lammers, Marco H. Blanker
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	general practice (GP) interdisciplinary consultation psychiatry primary care (MeSH) digital Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/edc2409f9b3144788e68946bcc8b3523
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spelling	oai:doaj.org-article:edc2409f9b3144788e68946bcc8b35232021-11-04T09:32:06ZOnline Consultations Between General Practitioners and Psychiatrists in the Netherlands: A Qualitative Study1664-064010.3389/fpsyt.2021.775738https://doaj.org/article/edc2409f9b3144788e68946bcc8b35232021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.775738/fullhttps://doaj.org/toc/1664-0640Objective: To examine the nature and scope of questions about psychiatric patient cases submitted by general practitioners (GPs) to an established online consultation platform and to determine if they could have been answered by consulting existing clinical guidelines.Methods: All anonymized psychiatric cases submitted by GPs to the online electronic Prisma platform between September 2018 and November 2019 were examined in a mixed-methods study. Descriptive statistics and qualitative thematic analysis were used, followed by axial coding to arrive at overarching themes to characterize cases.Results: Of the 136 included cases, 44.1% concerned female patients and about half concerned patients aged 31–60 years. Common psychiatric disorders were depression, attention deficit hyperactivity disorder, sleeping problems, sexual disorders, and eating disorders. The first response was usually given within 2 h (interquartile range, 0–14.3 h), with 86% answered within 24 h and 95% within 48 h. Qualitative analysis revealed four themes, namely “type of question,” “cases in relation to current clinical guidelines,” “case complexity” and “the doctor being pressured.” Type of question comprised diagnostic, therapeutic, and referral questions. Notably, for 44.1% of questions no current clinical guidelines was present and 46.3% of cases were deemed complex in nature. GPs were willing to share their experiences of coping with being pressured by patients.Conclusion: The findings of this study support the potential for an online electronic consultation platform to facilitate feasible and useful interprofessional consultation between GPs and psychiatrists for a broad range mental illnesses and questions of varying complexity.Nynke W. BockHans WoutersAnne J. LammersMarco H. BlankerFrontiers Media S.A.articlegeneral practice (GP)interdisciplinary consultationpsychiatryprimary care (MeSH)digitalPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	general practice (GP) interdisciplinary consultation psychiatry primary care (MeSH) digital Psychiatry RC435-571
spellingShingle	general practice (GP) interdisciplinary consultation psychiatry primary care (MeSH) digital Psychiatry RC435-571 Nynke W. Bock Hans Wouters Anne J. Lammers Marco H. Blanker Online Consultations Between General Practitioners and Psychiatrists in the Netherlands: A Qualitative Study
description	Objective: To examine the nature and scope of questions about psychiatric patient cases submitted by general practitioners (GPs) to an established online consultation platform and to determine if they could have been answered by consulting existing clinical guidelines.Methods: All anonymized psychiatric cases submitted by GPs to the online electronic Prisma platform between September 2018 and November 2019 were examined in a mixed-methods study. Descriptive statistics and qualitative thematic analysis were used, followed by axial coding to arrive at overarching themes to characterize cases.Results: Of the 136 included cases, 44.1% concerned female patients and about half concerned patients aged 31–60 years. Common psychiatric disorders were depression, attention deficit hyperactivity disorder, sleeping problems, sexual disorders, and eating disorders. The first response was usually given within 2 h (interquartile range, 0–14.3 h), with 86% answered within 24 h and 95% within 48 h. Qualitative analysis revealed four themes, namely “type of question,” “cases in relation to current clinical guidelines,” “case complexity” and “the doctor being pressured.” Type of question comprised diagnostic, therapeutic, and referral questions. Notably, for 44.1% of questions no current clinical guidelines was present and 46.3% of cases were deemed complex in nature. GPs were willing to share their experiences of coping with being pressured by patients.Conclusion: The findings of this study support the potential for an online electronic consultation platform to facilitate feasible and useful interprofessional consultation between GPs and psychiatrists for a broad range mental illnesses and questions of varying complexity.
format	article
author	Nynke W. Bock Hans Wouters Anne J. Lammers Marco H. Blanker
author_facet	Nynke W. Bock Hans Wouters Anne J. Lammers Marco H. Blanker
author_sort	Nynke W. Bock
title	Online Consultations Between General Practitioners and Psychiatrists in the Netherlands: A Qualitative Study
title_short	Online Consultations Between General Practitioners and Psychiatrists in the Netherlands: A Qualitative Study
title_full	Online Consultations Between General Practitioners and Psychiatrists in the Netherlands: A Qualitative Study
title_fullStr	Online Consultations Between General Practitioners and Psychiatrists in the Netherlands: A Qualitative Study
title_full_unstemmed	Online Consultations Between General Practitioners and Psychiatrists in the Netherlands: A Qualitative Study
title_sort	online consultations between general practitioners and psychiatrists in the netherlands: a qualitative study
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/edc2409f9b3144788e68946bcc8b3523
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Online Consultations Between General Practitioners and Psychiatrists in the Netherlands: A Qualitative Study

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