Physician career satisfaction across specialties. Leigh JP,∗∗Center for Health Services Research in Primary Care, PSSB Suite 2500, UCD Medical Center, Sacramento, CA 95817. E-mail: [email protected] Kravitz RL, Schembri M, Samuels SJ, Mobley S. Arch Intern Med 2002;162:1577–1584

2002 ◽  
Vol 134 (5) ◽  
pp. 796-797
Author(s):  
Hans E. Grossniklaus
1997 ◽  
Vol 27 (1) ◽  
pp. 1-21 ◽  
Author(s):  
Christina M. Van Der Feltz-Cornelis ◽  
John S. Lyons ◽  
Frits J. Huyse ◽  
Ricardo Campos ◽  
Per Fink ◽  
...  

Objective: The article seeks to provide an international perspective on the facilitating role of health services research in the treatment of psychiatric disorders in primary care. It builds on Goldberg and Huxley's model describing pathways to mental care for the psychiatrically ill in the community. Method: Seventy studies were selected for review by Medline search, sixteen studies by contacting prominent researchers in the field. All studies are discussed more or less extensively. Results: Case identification strategies including screening tools and diagnostic modules have been developed. Other strategies include educational training programs and psychiatric consultation services designed to facilitate psychopharmacological and other types of treatment of psychiatric disorders in primary care. Several models for the linkage of primary care and specialty mental health providers are discussed, and a primary care psychiatry programme is examined. Conclusion: Better psychiatric training of general practitioners (GPs), on-site consultation, and better communication between mental health professionals and GPs can improve the recognition, management, and referral of psychiatrically ill primary care patients. The further development of guidelines focusing on anxiety disorders, somatization, subthreshold disorders, and effectiveness in primary care is recommended.


2004 ◽  
Vol 20 (4) ◽  
pp. 565-568

Grazyna T. Adamiak, MA, MPH&W, PhD, Department of Public Health and Caring Sciences, Section of Health Services Research, Uppsala University, Dag Hammarskölds väg 14B, 751 85 Uppsala, Sweden; e-mail: [email protected]


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