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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, DESIGN, SETTING, PATIENTS, MEASUREMENTS AND MAIN RESULTS. Meshes: Humans, Mental Health Services, Outcome and Process Assessment (Health Care), Primary Health Care, Referral and Consultation, Retrospective Studies.
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Is it possible to improve psychiatric care through the referral process? Context: To evaluate the quality of referral from Primary Care to Mental Health and its relationship to the illness referred. A descriptive retrospective study over 4 years on the quality of the process. Mental Health Centre II in the Autonomous Community of Murcia. 209 patients referred by three Primary Care teams. 91.4% of patients (C.I. 95%: 100%, 81.1%) were accepted with a referral report. 97.9% (C.I. 95%: 100%, 87.8%) presented a reason for psychiatric consultation. The report included the clinical history of the illness in 58.1% of cases (C.I. 95%: 70.3%, 45.9%); a diagnostic opinion was given in 79.6% (C.I. 95%: 91.1%, 68%); and 37.2% (C.I. 95%: 49.3%, 25%) were referred with a request for a specific consultation. 68.4% of the referrals (C.I. 95%: 81.8%, 54.9%) coincided with the Mental Health diagnosis. It was observed that among the most commonly referred pathologies: anxiety disorders (31.6%), affective (28.8%), personality (7.7%), psychotic (5.3%), and adaptive disorders (5.3%); diagnoses were commonly made for affective or anxiety disorders (p<0.0001); the specific cause of referral of anxiety disorders was recorded (p<0.01); and in cases of psychotic and personality disorders, the diagnoses did not coincide (p<0.001).
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Referral to Mental Health can be improved, fundamentally by sending a report which includes the clinical history and the reason for referral. It is common to express a diagnostic opinion on affective and anxiety disorders, to note a specific reason for referral in the case of anxiety disorders and not to specify personality and psychotic disorders.