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Is clinical service development simply applied evidence-based medicine? A focus group study

  • Rachel Ruddy (a1) and Allan House (a2)
Abstract
Aims and Method

Our aim was to determine the role of evidence and other factors in specialist service development in liaison psychiatry. We held two focus groups with liaison psychiatry practitioners working in different services throughout Europe. A topic schedule focused the discussions, which were taped and transcribed. We used content analysis to identify the role of evidence and other factors that had hindered or facilitated service development.

Results

Our content analysis revealed two factors relating to evidence and 25 other barriers and facilitators of service development, which we grouped into national factors and factors related to local services.

Clinical Implications

Evidence appears to have some impact on service development but many other factors are influential. Clinical service development cannot be understood simply as emerging in response to research evidence.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Department of Health (2003) National Service Framework for Mental Health. London: Department of Health.
Howe, A., Hendry, J. & Potokar, J. (2003) A survey of liaison psychiatry services in the south-west of England. Psychiatric Bulletin, 27, 9092.
Kitzinger, J. (1994) The methodology of focus groups: the importance of interaction between research participants. Sociology of Health and Illness, 16, 103121.
Mayou, R., Anderson, H., Feinmann, C., et al (1990) The present state of consultation and liaison psychiatry. Psychiatric Bulletin, 14, 321325.
Naylor, D. C. (1995) Grey zones of clinical practice. Lancet, 345, 841842.
National Institute for Clinical Excellence (2004a) Eating Disorders: Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Eating Disorders. CG9. London: National Institute for Clinical Excellence.
National Institute for Clinical Excellence (2004b) Fertility: Assessment and Treatment for People with Fertility Problems. CG11. London: National Institute for Clinical Excellence.
Royal College of Physicians & Royal College of Psychiatrists (2003) The Psychological Care of Medical Patients: A Practice Guide (2nd edn). Council Report CR108. London: Royal College of Physicians & Royal College of Psychiatrists.
Royal College of Psychiatrists & British Association of Accident and Emergency Medicine (1996) Psychiatric Services to Accident and Emergency Departments. Council Report: CR43. London: Royal College of Psychiatrists & British Association of Accident and Emergency Medicine.
Ruddy, R. A. & House, A. H. (2003) A standard liaison psychiatry service structure? A study of the liaison psychiatry services within six strategic health authorities. Psychiatric Bulletin, 27, 457460.
SECRETARY OF STATE FOR HEALTH (1998) A First Class Service: Quality in the New NHS. London: Stationery Office.
Woolf, S. H., Grol, R., Hutchinson, A., et al (1999) Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines. BMJ, 318, 527530.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Is clinical service development simply applied evidence-based medicine? A focus group study

  • Rachel Ruddy (a1) and Allan House (a2)
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