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Priorities for research on mental health in primary care settings

Published online by Cambridge University Press:  09 July 2009

Greg Wilkinson*
Affiliation:
General Practice Research Unit, Institute of Psychiatry, London
Paul Williams
Affiliation:
General Practice Research Unit, Institute of Psychiatry, London
*
1 Address for correspondence: Dr Greg Wilkinson, General Practice Research Unit, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF.

Synopsis

A Delphi study was conducted with a multi-disciplinary group of experts attending a conference on mental illness in primary care settings. Respondents' priorities for research which could maximize benefits for service developments in this field were elicited by asking them to distribute hypothetical annual research budgets among (a) 6 mental health priority areas, and (b) 7 subjects ‘needing’ investigation within the primary care priority area. The respondents' three top-ranked priority areas for research were: (1) primary care; (2) the elderly mentally ill; and (3) chronically disabling mental illness. Their three top-ranked subjects for investigation within the primary care priority area were: (1) the effectiveness of treatment measures; (2) the problems of mental health presenting to primary care services; and (3) the training requirements for family doctors in psychiatric skills.

The results are discussed with reference to the method used and to the economic concepts of programme budgeting and marginal analysis.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1985

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References

REFERENCES

Bond, S. & Bond, J. (1982). A Delphi survey of clinical nursing research priorities. Journal of Advanced Nursing 7, 565575.CrossRefGoogle ScholarPubMed
Charlton, J. R. H., Patrick, D. L., Matthews, G. & West, P. A. (1981). Spending priorities in Kent: a Delphi study. Journal of Epidemiology and Community Health 35, 288292.CrossRefGoogle ScholarPubMed
Dalkey, N. C. (1969). The Delphi Method. An Experimental Study of Group Opinion. The Rand Corporation: Santa Monica.Google Scholar
Department of Health and Social Security (1976). Priorities for Health and Personal Social Services in England. A Consultative Document. HMSO: London.Google Scholar
Department of Health and Social Security (1977). Priorities in the Health and Social Services. The Way Forward. HMSO: London.Google Scholar
Department of Health and Social Security (1980). Research into Prevention of Mental Illness and Services for the Mentally III. DHSS: London.Google Scholar
Department of Health and Social Security (1983). Health Care and its Costs. The Development of the National Health Service in England. HMSO: London.Google Scholar
Goldberg, D. (1978). Mental health priorities in a primary care setting. Annals of the New York Academy of Sciences 310, 6568.CrossRefGoogle Scholar
Gustafson, D. H., Delbecq, A. L., Hansen, M. & Myers, R. G. (1975). Design of a health policy research and development system for Wisconsin. Inquiry 12, 3.Google ScholarPubMed
Hewett, S., Ryan, P. & Wing, J. (1975). Living without the mental hospitals. Journal of Social Policy 4, 391404.CrossRefGoogle Scholar
Holland, W. W. (1981). The organisation and funding of research into public health. Journal of Public Health Policy 2, 354360.CrossRefGoogle ScholarPubMed
Illsley, R. (1982). Research and the NHS. Health Bulletin 40, 5457.Google ScholarPubMed
Klerman, G. L. (1983). The efficacy of psychotherapy as the basis for public policy. American Psychologist 38, 929934.CrossRefGoogle ScholarPubMed
Koplan, J. P. & Farer, L. S. (1980). Choice of preventive treatment for isoniazid-resistant tuberculous infection. Journal of the American Medical Association 244, 27362740.CrossRefGoogle ScholarPubMed
Kumaran, K., Hansen, R. C. & Rowe, M. (1976). The Delphi technique in a psychiatric hospital. Dimensions in Health Service 53, 3234.Google ScholarPubMed
London, P. & Klerman, G. L. (1982). Evaluating psychotherapy. American Journal of Psychiatry 139, 709717.Google ScholarPubMed
Lyons, H. (1981). Solution by consensus. Health and Social Services Journal, 15151516.Google Scholar
Milholland, A. V., Wheeler, S. G. & Heieck, J. J. (1973). Medical assessment by a Delphi group opinion technic. New England Journal of Medicine 288, 12721275.CrossRefGoogle ScholarPubMed
Moscovice, I., Armstrong, P., Shortell, S. & Barnett, R. (1977). Health services research for decision-making: the use of the Delphi technique to determine health priorities. Health, Politics, Policy, and Law 2 (3), 388410.CrossRefGoogle ScholarPubMed
Parloff, M. B. (1982). Psychotherapy research evidence and reimbursement decisions: Bambi meets Godzilla. American Journal of Psychiatry 139, 718727.Google ScholarPubMed
Pill, J. (1971). The Delphi method: substance, context, a critique and an annotated bibliography. Socioeconomic Planning Sciences 5, 5771.CrossRefGoogle Scholar
Romm, F. J. & Hulka, B. S. (1979). Developing criteria for quality of care assessment: effect of the Delphi technique. Health Services Research 14, 309412.Google ScholarPubMed
Shepherd, M., Wilkinson, G. & Williams, P. (eds.) (1986). Mental Illness in Primary Care Settings. Tavistock Publications: London (in the press).Google Scholar
Snaith, A. H. (1982). Health services administration and health services research. British Medical Journal 284, 17221724.CrossRefGoogle ScholarPubMed
Starkweather, D. B., Gelwicks, L. & Newcomer, R. (1975). Delphi forecasting of health care organisations. Inquiry 12, 4.Google Scholar
van Etten, G. & Rutten, F. (1983). Health policy and health services research in the Netherlands. Social Science and Medicine 17, 119126.CrossRefGoogle ScholarPubMed
Weiss, C. H. (1984). Increasing the likelihood of influencing decisions. In Evaluation Research Methods (ed. Rutman, L.), pp. 159190. Sage Publications: Beverly Hills.Google Scholar
Weiss, J. A. & Weiss, C. H. (1981). Social scientists and decision makers look at the usefulness of mental health research. American Psychologist 36, 837847.CrossRefGoogle Scholar
Wilkinson, G. & Williams, P. (1985). Priorities and ideas for research on mental health in primary care settings. In Mental Illness in Primary Care Settings (ed. Shepherd, M., Wilkinson, G. and Williams, P.). Tavistock Publications: London (in the press).CrossRefGoogle ScholarPubMed
Williams, P. & Clare, A. (1981). Changing patterns of psychiatric care. British Medical Journal 282, 375377.CrossRefGoogle ScholarPubMed