Adolopment of clinical practice guidelines and creation of referral pathways for psychiatric conditions in Pakistan

Alina Pervez; Muhammad Murtaza Bukhari; Rijah Chhapra; Meryum Ishrat Baig; Russell Seth Martins; Sonia Pirzada; Nashia Ali Rizvi; Salima Saleem Aamdani; Bushra Ayub; Alina Abdul Rehman; Mohsin Ali Mustafa; Sarah Nadeem; Nargis Asad; Adil H. Haider; Tania Nadeem

doi:10.1016/j.lansea.2024.100387

Adolopment of clinical practice guidelines and creation of referral pathways for psychiatric conditions in Pakistan

Alina Pervez, Muhammad Murtaza Bukhari, Rijah Chhapra, Meryum Ishrat Baig, Russell Seth Martins, Sonia Pirzada, Nashia Ali Rizvi, Salima Saleem Aamdani, Bushra Ayub, Alina Abdul Rehman, Mohsin Ali Mustafa, Sarah Nadeem, Nargis Asad, Adil H. Haider, Tania Nadeem

Research output: Contribution to journal › Review article › peer-review

Abstract

Psychiatric disorders are highly prevalent in Pakistan and burdens the scarce number of psychiatrists present in the country. The establishment of evidence-based clinical practice guidelines (EBCPGs) and primary-care referral pathways within the local context is imperative to make the process efficient. In this Health Policy, we aimed to develop EBCPGs and primary-care referral pathways that are specific to Pakistan's primary-care setting, with the aim of facilitating the management of psychiatric conditions. Ten EBCPGs were created through the GRADE-ADOLOPMENT process; two recommendations were adopted with minor changes, 43 were excluded, and all others were adopted without any changes. Ten primary-care referral pathways for managing ten psychiatric disorders were created and 23 recommendations were added which will help to bridge the gap in care provision. These psychiatric referral pathways and EBCPGs will bring Pakistan's healthcare system a step closer to achieving optimal health outcomes for patients.

Original language	English
Article number	100387
Journal	The Lancet Regional Health - Southeast Asia
Volume	23
DOIs	https://doi.org/10.1016/j.lansea.2024.100387
Publication status	Published - Apr 2024

Keywords

Clinical practice guidelines
Pakistan
Psychiatry
Referral

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.lansea.2024.100387

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Pervez, A., Bukhari, M. M., Chhapra, R., Baig, M. I., Martins, R. S., Pirzada, S., Rizvi, N. A., Aamdani, S. S., Ayub, B., Rehman, A. A., Mustafa, M. A., Nadeem, S., Asad, N., Haider, A. H., & Nadeem, T. (2024). Adolopment of clinical practice guidelines and creation of referral pathways for psychiatric conditions in Pakistan. The Lancet Regional Health - Southeast Asia, 23, Article 100387. https://doi.org/10.1016/j.lansea.2024.100387

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title = "Adolopment of clinical practice guidelines and creation of referral pathways for psychiatric conditions in Pakistan",

abstract = "Psychiatric disorders are highly prevalent in Pakistan and burdens the scarce number of psychiatrists present in the country. The establishment of evidence-based clinical practice guidelines (EBCPGs) and primary-care referral pathways within the local context is imperative to make the process efficient. In this Health Policy, we aimed to develop EBCPGs and primary-care referral pathways that are specific to Pakistan's primary-care setting, with the aim of facilitating the management of psychiatric conditions. Ten EBCPGs were created through the GRADE-ADOLOPMENT process; two recommendations were adopted with minor changes, 43 were excluded, and all others were adopted without any changes. Ten primary-care referral pathways for managing ten psychiatric disorders were created and 23 recommendations were added which will help to bridge the gap in care provision. These psychiatric referral pathways and EBCPGs will bring Pakistan's healthcare system a step closer to achieving optimal health outcomes for patients.",

keywords = "Clinical practice guidelines, Pakistan, Psychiatry, Referral",

author = "Alina Pervez and Bukhari, {Muhammad Murtaza} and Rijah Chhapra and Baig, {Meryum Ishrat} and Martins, {Russell Seth} and Sonia Pirzada and Rizvi, {Nashia Ali} and Aamdani, {Salima Saleem} and Bushra Ayub and Rehman, {Alina Abdul} and Mustafa, {Mohsin Ali} and Sarah Nadeem and Nargis Asad and Haider, {Adil H.} and Tania Nadeem",

note = "Publisher Copyright: {\textcopyright} 2024 The Author(s)",

year = "2024",

month = apr,

doi = "10.1016/j.lansea.2024.100387",

language = "English",

volume = "23",

journal = "The Lancet Regional Health - Southeast Asia",

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Pervez, A, Bukhari, MM, Chhapra, R, Baig, MI, Martins, RS, Pirzada, S, Rizvi, NA, Aamdani, SS, Ayub, B, Rehman, AA, Mustafa, MA, Nadeem, S, Asad, N , Haider, AH & Nadeem, T 2024, 'Adolopment of clinical practice guidelines and creation of referral pathways for psychiatric conditions in Pakistan', The Lancet Regional Health - Southeast Asia, vol. 23, 100387. https://doi.org/10.1016/j.lansea.2024.100387

TY - JOUR

T1 - Adolopment of clinical practice guidelines and creation of referral pathways for psychiatric conditions in Pakistan

AU - Pervez, Alina

AU - Bukhari, Muhammad Murtaza

AU - Chhapra, Rijah

AU - Baig, Meryum Ishrat

AU - Martins, Russell Seth

AU - Pirzada, Sonia

AU - Rizvi, Nashia Ali

AU - Aamdani, Salima Saleem

AU - Ayub, Bushra

AU - Rehman, Alina Abdul

AU - Mustafa, Mohsin Ali

AU - Nadeem, Sarah

AU - Asad, Nargis

AU - Haider, Adil H.

AU - Nadeem, Tania

PY - 2024/4

Y1 - 2024/4

N2 - Psychiatric disorders are highly prevalent in Pakistan and burdens the scarce number of psychiatrists present in the country. The establishment of evidence-based clinical practice guidelines (EBCPGs) and primary-care referral pathways within the local context is imperative to make the process efficient. In this Health Policy, we aimed to develop EBCPGs and primary-care referral pathways that are specific to Pakistan's primary-care setting, with the aim of facilitating the management of psychiatric conditions. Ten EBCPGs were created through the GRADE-ADOLOPMENT process; two recommendations were adopted with minor changes, 43 were excluded, and all others were adopted without any changes. Ten primary-care referral pathways for managing ten psychiatric disorders were created and 23 recommendations were added which will help to bridge the gap in care provision. These psychiatric referral pathways and EBCPGs will bring Pakistan's healthcare system a step closer to achieving optimal health outcomes for patients.

AB - Psychiatric disorders are highly prevalent in Pakistan and burdens the scarce number of psychiatrists present in the country. The establishment of evidence-based clinical practice guidelines (EBCPGs) and primary-care referral pathways within the local context is imperative to make the process efficient. In this Health Policy, we aimed to develop EBCPGs and primary-care referral pathways that are specific to Pakistan's primary-care setting, with the aim of facilitating the management of psychiatric conditions. Ten EBCPGs were created through the GRADE-ADOLOPMENT process; two recommendations were adopted with minor changes, 43 were excluded, and all others were adopted without any changes. Ten primary-care referral pathways for managing ten psychiatric disorders were created and 23 recommendations were added which will help to bridge the gap in care provision. These psychiatric referral pathways and EBCPGs will bring Pakistan's healthcare system a step closer to achieving optimal health outcomes for patients.

KW - Clinical practice guidelines

KW - Pakistan

KW - Psychiatry

KW - Referral

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U2 - 10.1016/j.lansea.2024.100387

DO - 10.1016/j.lansea.2024.100387

M3 - Review article

AN - SCOPUS:85187396847

SN - 2772-3682

VL - 23

JO - The Lancet Regional Health - Southeast Asia

JF - The Lancet Regional Health - Southeast Asia

M1 - 100387

ER -

Adolopment of clinical practice guidelines and creation of referral pathways for psychiatric conditions in Pakistan

Abstract

Keywords

UN SDGs

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