Author
Kar, NilamadhabPublication date
2023-07-13Subject
Patients. Primary care. Medical profession. Forensic medicinePublic health. Health statistics. Occupational health. Health education
Mental health
Metadata
Show full item recordAbstract
Mental health concerns of doctors, especially psychiatrists, have not been highlighted adequately. Like other fellow clinicians, psychiatrists face considerable stress in clinical practice and a proportion of them suffer from mental health problems. However, besides low rate of help‑seeking, there are concerns of the availability of services and facilities appropriate for clinicians. Stigma plays its role as well. Even if most psychiatrists are resilient and can cope with the psychological stress reasonably well, support is still needed for a proportion of them. This issue needs further exploration to understand the extent of the problem, setting up appropriate supportive measures, and to study the effectiveness of any interventions.Citation
Kar, Nilamadhab. (2022). Mental health of the psychiatrists: A need for reflection. Odisha Journal of Psychiatry. 18. 10.4103/OJP.OJP_3_23.Type
ArticleJournal
Odisha Journal of PsychiatryPublisher
Wolters Kluwerae974a485f413a2113503eed53cd6c53
10.4103/OJP.OJP_3_23
Scopus Count
Collections
Related items
Showing items related by title, author, creator and subject.
-
Role of the Guidelines Evidence Specialist in the streamlining of Guidelines at a large acute NHS TrustHeer, Mandeep; Heer, Mandeep; Heer, Mandeep; CEBIS; CEBIS (University Hospitals Coventry and Warwickshire NHS Trust, 2023-11)Role of the Guidelines Evidence Specialist in the streamlining of Guidelines at a large acute NHS Trust
-
Faculty development: clinical dermatology for medical secretaries and administrative staffAgrawal, Rishi; Browne, Rachel; Baldwin, Nicola; Scott, H.; Tso, Simon; Agrawal, R.; Browne, R.; Baldwin, N.; Scott, H.; Tso, S.; et al. (Oxford University Press, 2020-06)A study investigating the potential benefits of specialty-specific clinical inductions for medical secretaries and administrative staff.
-
Mapping inpatient care pathways for patients with COPD: an observational study using routinely collected electronic hospital record data.Evison, Felicity; Cooper, Rachel; Gallier, Suzy; Missier, Paolo; Sayer, Avan A; Sapey, Elizabeth; Witham, Miles D; Evison, Felicity; Gallier, Suzy; Research and Development; et al. (European Respiratory Society, 2023-10-16)Introduction: Respiratory specialist ward care is associated with better outcomes for patients with COPD exacerbations. We assessed patient pathways and associated factors for people admitted to hospital with COPD exacerbations. Methods: We analysed routinely collected electronic health data for patients admitted with COPD exacerbation in 2018 to Queen Elizabeth Hospital, Birmingham, UK. We extracted data on demographics, deprivation index, Elixhauser comorbidities, ward moves, length of stay, and in-hospital and 1-year mortality. We compared care pathways with recommended care pathways (transition from initial assessment area to respiratory wards or discharge). We used Markov state transition models to derive probabilities of following recommended pathways for patient subgroups. Results: Of 42 555 patients with unplanned admissions during 2018, 571 patients were admitted at least once with an exacerbation of COPD. The mean±sd age was 51±11 years; 313 (55%) were women, 337 (59%) lived in the most deprived neighbourhoods and 45 (9%) were from non-white ethnic backgrounds. 428 (75.0%) had ≥4 comorbidities. Age >70 years was associated with higher in-hospital and 1-year mortality, more places of care (wards) and longer length of stay; having ≥4 comorbidities was associated with higher mortality and longer length of stay. Older age was associated with a significantly lower probability of following a recommended pathway (>70 years: 0.514, 95% CI 0.458-0.571; ≤70 years: 0.636, 95% CI 0.572-0.696; p=0.004). Conclusions: Only older age was associated with a lower chance of following recommended hospital pathways of care. Such analyses could help refine appropriate care pathways for patients with COPD exacerbations.