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Psychiatric Bulletin (2005) 29: 259-261. doi: 10.1192/pb.29.7.259
© 2005 The Royal College of Psychiatrists
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Psychiatric Bulletin (2005) 29: 259-261
© 2005 The Royal College of Psychiatrists

Is clinical service development simply applied evidence-based medicine? A focus group study

Rachel Ruddy, Academic Specialist Registrar and Honorary Lecturer in Psychiatry

Academic Unit of Psychiatry and Behavioural Sciences, University of Leeds, Leeds LS2 9JT

Allan House, Professor of Liaison Psychiatry and Head of the Academic Unit of Psychiatry and Behavioural Sciences

University of Leeds

Declaration of interest

Priorities and Needs Research and Development funding from Leeds Mental Health Trust sponsored the study.

AIMS AND METHOD

Our aim was to determine the role of evidence and other factors in specialist service development in liaison psychiatry. We held two focus groups with liaison psychiatry practitioners working in different services throughout Europe. A topic schedule focused the discussions, which were taped and transcribed. We used content analysis to identify the role of evidence and other factors that had hindered or facilitated service development.

RESULTS

Our content analysis revealed two factors relating to evidence and 25 other barriers and facilitators of service development, which we grouped into national factors and factors related to local services.

CLINICAL IMPLICATIONS

Evidence appears to have some impact on service development but many other factors are influential. Clinical service development cannot be understood simply as emerging in response to research evidence.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
British Journal of Psychiatry Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 2005 The Royal College of Psychiatrists.