Hostname: page-component-7c8c6479df-995ml Total loading time: 0 Render date: 2024-03-29T00:53:57.141Z Has data issue: false hasContentIssue false

Variations in psychiatric practice

Neither unacceptable nor unavoidable, only under-researched

Published online by Cambridge University Press:  31 January 2018

Simon Gilbody*
Affiliation:
NHS Centre for Reviews and Dissemination, University of York
Allan House
Affiliation:
Division of Psychiatry and Behavioural Sciences, University of Leeds
*
Dr Simon Gilbody, NHS Centre for Reviews and Dissemination, University of York, York YO10 5DD. Tel: 01904 433634; Fax: 01904 433661; e-mail: smg5@york.ac.uk
Rights & Permissions [Opens in a new window]

Abstract

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Editorials
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

References

Aday, L. A., Begley, C. E., Lairson, D. R., et al (1998) Evaluating the Healthcare System: Effectiveness, Efficiency and Equity. Chicago, IL: Health Administration Press.Google Scholar
Cochrane Database of Systematic Reviews (1999) In The Cochrane Library, Issue I. Oxford: Update Software.Google Scholar
Department of Health and Social Security (1984) The Management of Deliberate Self Harm. London: DHSS.Google Scholar
Effective Health Care (1994) Implementing Clinical Guidelines: Can Guidelines be Used to Improve Practice? York: University of York.Google Scholar
Effective Health Care (1999) Getting Evidence into Practice. York.: University of York.Google Scholar
Fortney, J. C., Booth, B. M. & Smith, G. R. (1996) Variation among VA hospitals in length of stay for treatment of depression. Psychiatric Services, 47, 608613.Google Scholar
Freeman, C. P. (ed.) (1995) The ECT Handbook. The Second Report of the Royal College of Psychiatrists' Special Committee on ECT. Council Report CR 39. London: Royal College of Psychiatrists.Google Scholar
Glover, J. A. (1938) The incidence of tonsillectomy in school children. Proceedings of the Royal Society of Medicine, 31, 12191236.Google Scholar
Greer, A. L. (1988) The state of the art versus the state of the science: the diffusion of new medical technologies into practice. International Journal of Technology Assessment in Healthcare, 4, 526.Google Scholar
Gunnell, D., Brooks, J. & Peters, T. (1996) Epidemiology and patterns of hospital use after parasuicide in the south west of England. Journal of Epidemiology and Community Health, 50, 2429.CrossRefGoogle ScholarPubMed
Ham, C. (1988) A review of the literature. In Health Care Variations: Assessing the Evidence. London: The Kings Fund Institute.Google Scholar
Hargreaves, W. A. (1998) Commentary on: The schizophrenia Patient Ouctomes Research Team (PORT) treatment recommendations. Schizophrenia Bulletin, 24, 2324.Google Scholar
Hawton, K. & James, R. (1995) General hospital services for attempted suicide: a survey of one region. Health Trends, 27, 1821.Google Scholar
Hawton, K., Arensman, E., Townsend, E., et al (1998) Deliberate self-harm: systematic review of efficacy of psychosocial and pharmacological treatments in preventing repetition, British Medical Journal, 317, 441447.Google Scholar
Kapur, N., House, A., Creed, F., et al (1998) Management of deliberate self poisoning in adults in four teaching hospitals: descriptive study. British Medical Journal, 316, 831832.Google Scholar
Lehman, A. F. (1998) Translating research into practice: The schizophrenia Patient Outcomes Research Team (PORT) treatment recommendations. Schizophrenia Bulletin, 24, 110.Google Scholar
Logan, R. (1972) Dynamics of Medical Care. London: London School of Hygiene and Tropical Medicine.Google Scholar
McPherson, K. (1990) Why do variations occur? In The Challenges of Medical Practice variations (eds Andersen, T. F. & Mooney, G.). London: Macmillan.Google Scholar
Pippard, J. (1992) Audit of electroconvulsive therapy in two National Health Service regions. British Journal of Psychiatry, 160, 621637.Google Scholar
Rizzo, J. A. (1993) Physician uncertainty and the art of persuasion. Social and Scientific Medicine, 37, 14511459.Google Scholar
Roemer, R. & Shain, M. (1959) Hospital costs relate to the supply of beds. The Modern Hospital, 92, 7173.Google Scholar
Roos, N. P. & Roos, L. L. (1982) Surgical rate variations: do they reflect the health or the socioeconomic characteristics of the populations? Medical Care, 20, 945958.Google Scholar
Roos, L. L., Brazauskas, R., Cohen, M. M., et al (1990) Variations in outcomes research. In The Challenges of Medical Practice Variations (eds Andersen, T. F. & Mooney, G.). London: Macmillan.Google Scholar
Secretary of State for Health (1988) A First Class Service: Quality in the New NHS. London: HMSO Google Scholar
Sheldon, T. A. (1994) Please bypass the PORT. British Medical Journal, 309, 142143.CrossRefGoogle ScholarPubMed
Taylor, D., Mir, S., Mace, S., et al (1999) A national survey of anti-psychotic prescribing. Primary Care Psychiatry, in press.Google Scholar
Thomson, M. A., Oxman, A. D., Davis, D. A., et al (1998a) Audit and feedback to improve health professional practice and health care outcomes (Cochrane Review). In The Cochrane Library, Issue 4. Oxford: Update Software.Google Scholar
Thomson, M. A., Oxman, A. D., Heynes, R. B., et al (1998b) Local opinion leaders to improve health professional practice and health care outcomes (Cochrane Review). In The Cochrane Library. Issue 4. Oxford: Update Software.Google Scholar
Wennberg, J. E. (1984) Dealing with medical practice variations. Health Affairs, 3, 632.Google Scholar
Wennberg, J. E. & Gittelsohn, A. (1973) Small area variations in healthcare delivery: a population based health information system can guide planning and regulatory decision-making. Science, 182, 11021109.Google Scholar
Wennberg, J. E., Bunker, J. P. & Barnes, B. (1980) The need for assessing the outcome of common medical practices. Annual Review of Public Health, 1, 277295.Google Scholar
Wennberg, J. E., Roos, N., Sola, L., et al (1987) Use of claims data systems to evaluate healthcare outcomes: mortality and re-operation following prostatectomy. Journal of the American Medical Association, 257, 933936.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.