Author:

Keywords:

Science & Technology, Life Sciences & Biomedicine, Psychiatry, 1103 Clinical Sciences, 1701 Psychology, 3202 Clinical sciences, 3209 Neurosciences, 5203 Clinical and health psychology

Abstract:

Introduction Primary care can contribute to a qualitative and effective process of (somatic) care for patients with psychosis. The use of antipsychotics e.g. needs a conscientious follow up. The aim of this project was to explore how the guidelines concerning the follow up of cardiovascular and metabolic side effects of antipsychotic drugs are used in Flanders, how this process can be improved, how the somatic care for patients with psychosis is handled in general practice and what role psychiatrists, pharmacists and GPs play in this process. Methods 1. A mixed method was used combining personal interviews and postal questionnaires of general practitioners, community and hospital pharmacists and psychiatrists. 2. The NHS Lester UK adaptation guideline 2014 was adapted to the Flemish situation. Results In total 57 health care professionals were involved: 29 were interviewed (9 GPs, 7 psychiatrists, 11 pharmacists and 2 nurses) and 28 GPs answered the postal questionnaire. The adapted guideline is manageable in Flanders. The follow up of cardiometabolic parameters is a GPs task, supported by the psychiatrist and pharmacist and using evidence based guidelines. The knowledge and use of guidelines in all disciplines are very poor and suboptimal. Shared electronic medical records and structured interdisciplinary consultation are favourable. Discussion 1. The care for somatic problems in patients with psychosis is a GP task, to be supported by psychiatrists, pharmacists, evidence based guidelines, shared electronic data files and interdisciplinary concertation. 2. Guidelines are not well used, implemented and followed 3. The NHS Lester UK adaptation guideline 2014 was adapted to the Flemish situation