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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Transitioning patients taking clozapine from the public to private/GP shared-care setting: Barriers and criteria
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Transitioning patients taking clozapine from the public to private/GP shared-care setting: Barriers and criteria

机译：从公众到私人/ GP共享护理环境的转型患者：障碍和标准

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Objective: The aim of this study was to explore the barriers to transitioning patients taking clozapine from the public to private psychiatrist or general practitioner (GP) shared-care setting, as well as the criteria used by staff to identify patients suitable for transitioning.Method: The experience of clinicians managing people taking clozapine was explored through circulation of a feedback questionnaire. The clozapine transition questionnaire (CTQ) was developed as the primary measure following extensive consultation with clinical staff with expertise in clozapine treatment. A total of 215 clinicians were sent questionnaires (60 community mental health service staff, 120 private psychiatrists registered to prescribe clozapine, and 35 GPs from the Bayside Health clozapine GP shared-care programme), with overall 80 (46.2%) returned.Results: Over 64% of participants had managed patients who had been transitioned from public to private psychiatrist or GP shared-care settings. Around half of these said that it was a 'worthwhile treatment option' and that 'it went smoothly' and 'the patient was satisfied'. The most significant barriers to successful transitioning were the cost of private service, the patient's level of disorganization, and the need for ongoing care coordination. The most important criteria for transitioning patients was compliance with medication, ability to independently attend appointments and access appropriate pharmacies to receive medication, and willingness to transition out of the public system.Conclusions: Transitioning suitable public psychiatric patients taking clozapine into private psychiatrist/GP shared-care offers an important model to improve the efficiency and effectiveness of care, but requires careful planning, preparation, and monitoring to ensure sustained success.
机译：目的：本研究的目的是探讨从公众到私人精神病学或一般从业者（GP）共享保养环境的障碍转移患者的障碍，以及工作人员使用的标准，以确定适合过渡的患者。方法：通过流通反馈问卷调查，探讨了管理氯氮平的临床医生的经验。 Clozapine过渡问卷（CTQ）被制定为与临床人员在氯氮平治疗中专业知识进行广泛磋商后的主要措施。共有215名临床医生被送回问卷（60名社区精神卫生服务人员，120名私人精神科医生注册，登记克罗齐齐，与Bayside Health Clozapine GP共享护理计划中的35个GPS），总共80（46.2％）返回。结果：超过64％的参与者已经管理过从公众转移到私人精神科医生或GP共享护理环境的患者。其中大约有一半说，这是一个'有价值的治疗选项'，“它顺利”和“患者满意”。成功过渡最重要的障碍是私人服务的成本，患者的紊乱水平以及持续关心协调的需求。过渡患者的最重要标准是符合药物，独立参加约会的能力并获得适当的药房接受药物治疗，以及愿意从公共系统中过渡。结论：将氯氮平的合适公共精神病患者转化为私人精神科/ GP分享。 - 提供了一个重要的模型，可以提高护理的效率和有效性，但需要仔细规划，准备和监控，以确保持续成功。

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