PSYCHIATRIC DEPARTMENT IN A MULTIDISCIPLINARY HOSPITAL: CREATION EXPERIENCE AND REQUIREMENT FOR THE MODERN HEALTH CARE SYSTEM OF UKRAINE
DOI:
https://doi.org/10.11603/1681-2786.2022.2.13307Keywords:
psychiatric service, multidisciplinary hospital, inpatient care, health careAbstract
Purpose: analysis of the first results of work of the newly created specialized treatment and consultation psychiatric department as part of a multidisciplinary hospital in Lviv.
Materials and Methods. The study includes research and analysis of modern relevant references regarding the provision of inpatient psychiatric care in general hospitals in the world, which was performed with the help of bibliosemantic method. The work of the psychiatric department was evaluated according to the data presented by the St. Panteleimon Hospital of the non-commercial institution “The First Territorial Medical Association of Lviv” for September 2021 - June 2022 using the structural-logical method.
Results. The existing advantages of providing inpatient psychiatric care to the population in the psychiatric department in the structure of the II grade multidisciplinary hospital are exemplified by the psychiatric department of the Lviv multidisciplinary hospital. It was established that a significant part of the contingent of this department is made up of patients transferred according to established consultative indications “in situ” from other departments of the hospital. Such patients show signs of not only organic mental disorders, but also additional pathoplastic mental disorders associated with the course and treatment of severe somatic diseases.
Conclusion. The integration of the mental health care service into the general health care system can significantly contribute to reducing stigmatization, optimizing the provision of requirements and expanding the functional capabilities of psychiatrists, as well as increasing the probability of early detection of mental disorders in patients with psychosomatic symptoms who are referred to a general clinical network with other issues.
References
Vorozhbyt, O.B., & Filts, O.O. (2010). Nozohenichna reaktsiya yak predyktor vynyknennya depresiyi u khvorykh na KHHS (1v henotyp HCV) pid chas IFN terapiyi. [Nosogenic reaction as a predictor of depression in patients with HCV (HCV genotype 1) during IFN therapy]. Hepatolohiya – Hepatology, 2, 49-54 [in Ukrainian].
(2021). Deyaki pytannya realizatsiyi prohramy derzhavnykh harantiy medychnoho obsluhovuvannya naselennya u 2022 rotsi. [Some issues of implementation of the program of state guarantees of medical care of the population in 2022]. Postanova KM vid 29.12.2021 № 1440. – Resolution of the Cabinet of Ministers of 12/29/2021 No. 1440. Retrieved from: https://zakon.rada.gov.ua/laws/show/1440-2021-%D0%BF#Text [in Ukrainian].
Medinska, Yu. (2004). Dosvid roboty medychnoho psykholoha v umovakh psykhodynamichnoho psykhoterapevtychnoho statsionaru. [Work experience of a medical psychologist in the conditions of a psychodynamic psychotherapy hospital]. Forum psykhiatriyi ta psykhoterapiyi. Spetsialnyy vypusk. – Forum of psychiatry and psychotherapy. Special issue, 5, 16-20 [in Ukrainian].
(2017). Kontseptsiya rozvytku okhorony psykhichnoho zdorov’ya v Ukrayini na period do 2030 roku [The concept of development of mental health care in Ukraine for the period until 2030]. Rozporyadzhennya Kabinetu Ministriv Ukrayiny vid 27.12.2017 r. № 1018-r – Order of the Cabinet of Ministers of Ukraine dated 12/27/2017 No. 1018-р. Retrieved from: https://zakon.rada.gov.ua/laws/show/1018-2017-%D1%80#Text [in Ukrainian].
(2021). Nove u Prohrami medychnykh harantiy. [A new in the Medical Guarantee Program]. Natsionalna sluzhba zdorovya Ukrayiny – National Health Service of Ukraine. Retrieved from: https://www.nszu.gov.ua/novini/nove-u-programi-medgarantij-u-2021-roci-psihiatrichnu-dopomo-388 [in Ukrainian].
(2017). Orhanizatsiya sluzhb okhorony psykhichnoho zdorovya. Klinichna nastanova, zasnovana na dokazakh. [Organization of mental health care services. Evidence-based clinical practice]. Multydystsyplinarna robocha hrupa z opratsyuvannya medykotekhnolohichnykh dokumentiv zi standartyzatsiyi medychnoyi dopomohy na zasadakh dokazovoyi medytsyny z orhanizatsiyi sluzhb okhorony psykhichnoho zdorov’ya pid kerivn. Pinchuk I.Ya. Retrieved from: https://www.dec.gov.ua/wp-content/uploads/2019/11/akn_opz.pdf [in Ukrainian]
(2018). Nakaz MOZ Ukrayiny Pro zatverdzhennya Obyemu nadannya vtorynnoyi (spetsializovanoyi) medychnoyi dopomohy, shcho povynen zabezpechuvatysya bahatoprofilʹnymy likarnyamy intensyvnoho likuvannya pershoho ta druhoho rivnya, ta Zmin do Poryadku rehionalizatsiyi perynatalʹnoyi dopomohyvid 19.10.2018 № 1881 – Order of the Ministry of Health of Ukraine [On the approval of the Volume of provision of secondary (specialized) medical care, which must be provided by multidisciplinary intensive care hospitals of the first and second level, and Amendments to the Procedure for Regionalization of Perinatal Care]. of October 19, 2018 No. 1881 Retrieved from: https://zakon.rada.gov.ua/laws/show/z1292-18#Text [in Ukrainian].
(2021). Psykhiatrychna dopomoha u 2021 rotsi [Psychiatric care in 2021]. Natsionalna sluzhba zdorovya Ukrayiny – National Health Service of Ukraine. Retrieved from: https://www.nszu.gov.ua/novini/psihiatrichna-dopomoga-shcho-zminitsya-u-2021-roci-466 [in Ukrainian].
Filts, O.O. (2003). Pershyy dosvid orhanizatsiyi psykhodynamichnoho psykhoterapevtychnoho statsionaru v Ukrayini. [The first experience of organizing a psychodynamic psychotherapy hospital in Ukraine]. Forum psykhiatriyi ta psykhoterapiyi. Spetsialnyy vypusk – Forum of psychiatry and psychotherapy. Special issue, 4, 3-7 [in Ukrainian].
Baker, M.G., Kale, R., & Menken, M. (2002). The wall between neurology and psychiatry. BMJ, 324(7352), 1468-9. DOI 10.1136/bmj.324.7352.1468.
Hugh, L. & Freeman (1995). The General Hospital and Mental Health Care: A British Perspective. The Milbank Quarterly, 73(4), 653-676. Retrieved from: https://www.jstor.org/stable/3350289.
Lipsitt, D.R. (2003). Psychiatry and the general hospital in an age of uncertainty. World Psychiatry, 2(2), 87-92. Retrieved from: https://pubmed.ncbi.nlm.nih.gov/16946901/.
Mayou, R. (1989). The history of general hospital psychiatry. Br. J. Psychiatry, 155, 764-776. Retrieved from: https://pubmed.ncbi.nlm.nih.gov/2695207.
Mosher, J.M. (1900). The insane in general hospitals. Am. J. Insanity, 57, 325-329. Retrieved from: https://ajp.psychiatryonline.org/doi/10.1176/ajp.57.2.325.
Walker, A., Barrett, J.R., & Lee, W, West, R. M Guthrie, E., Trigwell, P. … House, A. (2018). Organization and delivery of liaison psychiatry services in general hospitals in England: results of a national survey. BMJ, 8, e023091. DOI 10.1136/bmjopen-2018-023091.
(2021). Providing mental health support in humanitarian emergencies: an opportunity to integrate care in a sustainable way. WHO. Retrieved from: https://www.who.int/news-room/feature-stories/detail/providing-mental-health-support-in-humanitarian-emergencies-an-opportunity-to-integrate-care-in-a-sustainable-way.
Sederer, L.I., Katz, B., & Manschrek, T.C. (1984). Inpatient psychiatry: perspectives from the general, the private and the state hospital. Gen. Hosp. Psychiatry, 6, 180-190. Retrieved from: https://pubmed.ncbi.nlm.nih.gov/6745644.
Smith, T.E. (2020). The Role of Hospital Inpatient Mental Health Care in Modern Health Care Systems. Psychiatric Services, 71(9), 967-968. DOI 10.1176/appi.ps.202000091.
(2000). Statistics from Survey and Analysis Branch. Division of State and Community Systems Development. Center for Mental Health Services. Retrieved from: https://www.samhsa.gov/about-us/who-we-are/offices-centers/cmhs.
Zimenkovsky, A., Gutor, T., & Lesniak, O. (2021). Quality assessment of medical care according to data of annual reports (as exemplified by Urology Department of Municipal Non-profit Enterprise «Lviv Clinical Emergency Hospital»). Acta Medica Leopoliensia, 27(1-2), 83-100. DOI 10.25040/aml2021.01-02.083.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Bulletin of Social Hygiene and Health Protection Organization of Ukraine
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
