[Intersectorial co-operation in psychiatry].
BACKGROUND
Critical intersectorial problems of co-operation are revealed through an organizational psychological analysis focusing on intergroup dynamics. The aim of the paper is to examine and improve the intersectorial co-operation in psychiatry and present a new trio-interview design that includes patients as well as staff.


METHODS
Results from a follow-up study investigating the co-operation between Psychiatric Center Amager (PCA) and socialpsychiatric institutions (SPI) in Copenhagen is presented and analysed. The study was based on data gathered via structured interviews with patients and staff from both sectors (n = 60 in 2005, n = 87 in 2007), employing quantitative as well as qualitative methods. The newly developed trio-interview design with informant-triads for studies of the quality of intersectorial co-operation in psychiatry was applied to the study.


RESULTS
Quantitative data from the patients showed that the co-operation was generally considered to be unsatisfactory in 2005 and 2007. SPI satisfaction estimates concerning the latest hospitalization period were higher in 2007 than in 2005. Staff from both sectors estimated that co-operation was significantly higher during 2007 than during 2005. Qualitative data showed that in 2007, staff was the decisive factor.


CONCLUSIONS
The co-operation was estimated to be unsatisfactory in 2005 and 2007. Measures to strengthen intersectorial co-operation were implemented in 2006, but had limited effect.
Kistrup
Morten
M
Psykiatrisk Center Amager, Digevej 110, DK-2300 København S, Denmark.
Madsen
Jesper
J
Aggernaes
Karin Helle
KH
Wang
August G
AG
D001291:Attitude of Health Personnel; D003156:Community Mental Health Services / Q000458:organization & administration; D003718:Denmark; D005500:Follow-Up Studies; D006801:Humans; D007373:Interinstitutional Relations; D008605:Mental Health Services / Q000458:organization & administration*; D017060:Patient Satisfaction; D011570:Psychiatry / Q000458:organization & administration*; D012949:Social Work, Psychiatric / Q000458:organization & administration; D011795:Surveys and Questionnaires