Cand.psychol Erling Inge Kvig disputerer for ph.d.-graden i helsevitenskap og vil offentlig forsvare avhandlingen:
“Studies in pathways to care - duration of untreated psychosis and its determining factors in early psychosis”
Kort sammendrag av avhandlingen:
Many patients with psychosis are treated late in their course of illness, and have a long duration of untreated psychosis. Delay may be related to both patient and system related factors. The determinants of system related delay are largely unexplored in the literature.
In this study we investigated treatment delay and its determinants in a Norwegian health care context. We collected data from both treated patients and healthcare professionals.
We found that system delay accounted for more than half of overall treatment delay. Referral delay and diagnostic delay were important reasons for delay. Referral decisions were dependent also on contextual factors, and the threshold for hospital referral was elevated in more peripheral areas.
By understanding where and why treatment delay occurs we may better able to design interventions to facilitate better earlier detection and treatment of psychosis. Important targets are improving referral pathways and reducing diagnostic delay.
Veiledere
Hovedveileder professor Knut Sørgaard
Biveileder professor Tor Ketil Larsen
Bedømmelseskomite
Professor Max Birchwood, University of Warwick, England– 1. opponent
Førsteamanuensis Ingrid Dieset, Oslo Universitetssykehus – 2. opponent
Professor Terje Øiesvold, Institutt for klinisk medisin, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet – leder av komité
Disputasleder
Professor Ole-Lars Brekke, Institutt for klinisk medisin, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet
Prøveforelesning over oppgitt emne holdes kl. 10.15, samme sted: “Affective symptoms in schizophrenia and their significance concerning treatment and outcome”