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Clinical experience of the modified nurse-assisted screening and psychiatric referral program

Published online by Cambridge University Press:  19 February 2008

Ken Shimizu
Affiliation:
Psychiatry Division, National Cancer Center Hospital, Chuou-ku, Tokyo, Japan Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Kashiwa, Chiba, Japan
Nobuya Akizuki
Affiliation:
Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Kashiwa, Chiba, Japan Psycho-Oncology Division, National Cancer Center Hospital East, Kashiwa, Chiba, Japan
Tatsuo Akechi
Affiliation:
Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Kashiwa, Chiba, Japan Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, Japan
Masako Okamura
Affiliation:
Psycho-Oncology Division, Cancer Institute Hospital, Koto-ku, Tokyo, Japan
Akira Oba
Affiliation:
Psycho-Oncology Division, Shizuoka Cancer Center Hospital, Nagaizumi, Shizuoka, Japan
Masaya Shimamoto
Affiliation:
Psychiatry Division, National Cancer Center Hospital, Chuou-ku, Tokyo, Japan
Masatoshi Inagaki
Affiliation:
Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Kashiwa, Chiba, Japan Psycho-Oncology Division, National Cancer Center Hospital East, Kashiwa, Chiba, Japan
Yosuke Uchitomi*
Affiliation:
Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Kashiwa, Chiba, Japan Psycho-Oncology Division, National Cancer Center Hospital East, Kashiwa, Chiba, Japan
*
Address correspondence and reprint requests to: Yosuke Uchitomi, Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577Japan. E-mail: yuchitom@east.ncc.go.jp

Abstract

Objective:

We previously reported that the nurse-assisted screening and psychiatric referral program (NASPRP) facilitated the psychiatric treatment of depressive patients, but the high refusal rate was a problem even though referral was recommended by the nurse to all positively screened patients. We modified the program so that the nurses could judge the final eligibility of referral using the result of the screening. This study assessed if the modified NASPRP led to more psychiatric referral of depressive patients.

Method:

We retrospectively evaluated the annual change of the psychiatric referral proportion and compared the findings among the usual care term, the NASPRP term, and the modified NASPRP terms.

Results:

The referral proportions of the modified NASPRP terms were 4.4% and 3.9%. These were not significantly higher than the usual care term (2.5%), and significantly lower than the NASPRP term (11.5%).

Significant of results:

The modified NASPRP did not facilitate psychiatric treatment of depressive patients and another approach is needed.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2008

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