ERIC Number: ED040465
Record Type: RIE
Publication Date: 1970-Mar
Reference Count: 0
Psychiatric Consultation Within a Community of Sick Children - Lessons from a Children's Hospital.
Bolian, George C.
Delivery of health care services is under close national scrutiny -- and rightly so! This report examines one facet of those traditional services, inpatient specialty consultation, in the form of 100 consecutive initial requests for child psychiatry consultative assistance in the clinical setting of a large children's hospital. Analysis of the data in the usual categories (age, sex, race, fee, service, and diagnosis) would strongly suggest that the consultative process is highly complex and only partially, at best, responsive to the needs of patients. Clusters of other significant variables which alter the process include attitudes of the patient and his family, the consultant, the consulee and other staff members, hospital institutional practices, and community and social influences. It would perhaps be more colorful to conclude that inpatient psychiatric consultation for children constitutes a symptom of the national non-system of health care delivery. Accuracy would require rather the conclusion that there is after all a kind of system, but that it is largely hidden, inefficient and too often hypocritical. (Author)
Publication Type: N/A
Education Level: N/A
Authoring Institution: Washington Univ., Seattle. School of Medicine.; American Orthopsychiatric Association, New York, NY.
Note: Paper presented at the American Orthopsychiatric Association Convention, San Francisco, California, March 23-26, 1970