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Problems across care pathways in specialist adult eating disorder services

  • Glenn Waller (a1), Ulrike Schmidt (a2), Janet Treasure (a3), Katie Murray (a4), Joana Aleyna (a4), Francesca Emanuelli (a5), Jo Crockett (a6) and Maria Yeomans (a7)...
Abstract
Aims and Method

Despite considerable knowledge of outcomes for patients who complete treatment for eating disorders, less is known about earlier stages in the treatment journey. This study aimed to map the efficiency of the anticipated patient journey along care pathways. Referrals to specialist eating disorder services (n=1887) were tracked through the process of referral, assessment, treatment and discharge.

Results

The patient mortality rate was low. However, there were serious problems of attrition throughout the care pathways. of the original referrals where a meaningful conclusion could be reached, in approximately 35% the person was never seen, only half entered treatment and only a quarter reached the end of treatment.

Clinical Implications

This study demonstrates considerable inefficiency of resource utilisation. Suggestions are made for reducing this inefficiency, to allow more patients the opportunity of evidence-based care.

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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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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Problems across care pathways in specialist adult eating disorder services

  • Glenn Waller (a1), Ulrike Schmidt (a2), Janet Treasure (a3), Katie Murray (a4), Joana Aleyna (a4), Francesca Emanuelli (a5), Jo Crockett (a6) and Maria Yeomans (a7)...
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