Revue Medicale Suisse
Volume 5, Issue 217, 2009, Pages 1826-1830

Action research and clinical governance: The example of the project «psychiatry and migrants» at the Centre hospitaller universitaire vaudois [Recherche-action et gouvernance clinique: L'Exemple du projet «psychiatrie et migrants» du CHUV] (Review)

Faucherre F.* , Weber O. , Reeves D. , Bonvin E. , Guex P.
  • a Département de Psychiatrie, CHUV, 1011 Lausanne, Switzerland
  • b Département de Psychiatrie, CHUV, 1011 Lausanne, Switzerland
  • c Département de Psychiatrie, CHUV, 1011 Lausanne, Switzerland
  • d Réseau Santé Valais, Centre Hospitalier du Chablais, Département des Institutions Psychiatriques du Valais Romand, Rte de Morgins 10, 1870 Monthey, Switzerland
  • e Département de Psychiatrie, CHUV, 1011 Lausanne, Switzerland

Abstract

Action research is a useful instrument for the organization health care and the clinical governance of psychiatric institutions. What this type of research offers can be illustrated by the cohort study of migrant patients without health insurance who consulted the Department of Psychiatry of the Vaudois university medical center (CHUV) in 2008. While giving greater visibilty to the psychological suffering and social distress of these patients, the study also enabled the authors to determine which clinical procedures were actually offered to these patients and the amount these procedures cost the department. The small number of cases that were identified as well as their uneven distribution amongst the different services of the department suggest that considerable efforts must still be made to improve access for this population to public psychiatric services.

Author Keywords

[No Keywords available]

Index Keywords

social stress distress syndrome action research Review medically uninsured Transients and Migrants public health service Community Mental Health Services health care organization health insurance Switzerland Health Services Accessibility Humans Hospitals, University mental health center health care quality
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-70349659967&partnerID=40&md5=e9cffa2038c36e7511e8bedc605d9230
ISSN: 16609379
Original Language: French