scholarly journals Patterns of primary care among persons with schizophrenia: the role of patients, general practitioners and centre factors

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Mª Carmen Castillejos Anguiano ◽  
Carlos Martín Pérez ◽  
Antonio Bordallo Aragón ◽  
Jesus Sepúlveda Muñoz ◽  
Berta Moreno Küstner
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
General Practitioners ◽  
Primary Care Centre ◽  
Mental Health Training ◽  
Care Centre ◽  
Health Training ◽  
Patient Variables ◽  
Number Of Visits

Abstract Background Patients with schizophrenia and related disorders have more physical problems than the general population. Primary care professionals play an important role in the care of these patients as they are the main entry point into the healthcare system. We aimed to identify patient, general practitioner, and primary care centre factors associated with the number of visits of patients with schizophrenia and related disorders to general practitioners. Methods A descriptive, cross-sectional study was conducted in 13 primary care centres belonging to the Clinical Management Unit of Mental Health of the Regional Hospital of Málaga, Spain. The eligible population was composed of patients with schizophrenia and related disorders attending the primary care centres in the study area, and the general practitioners who attend these patients. Our dependent variable was the total number of general practitioner visits made by patients with schizophrenia and related disorders during the 3.5-year observation period. The independent variables were grouped into three: (a) patient variables (sociodemographic and clinical), (b) general practitioner variables, and (c) primary care centre characteristics. Descriptive, bivariate, and multivariate analyses using the random forest method were performed. Results A total of 259 patients with schizophrenia and related disorders, 96 general practitioners, and 13 primary care centres were included. The annual mean was 3.9 visits per patient. The results showed that younger general practitioners, patients who were women, patients who were married, some primary care centres to which the patient belonged, taking antipsychotic medication, presenting any cardiovascular risk factor, and more frequency of mental health training sessions at the primary care centre were associated with an increased number of visits to general practitioners. Conclusions The only general practitioner variable that was associated with the number of visits was age, the older the less contact. There were also patient variables involved in the number of visits. Finally, mental health training for general practitioners was important for these professionals to manage patients with schizophrenia and related disorders.

scholarly journals Patterns of primary care among persons with schizophrenia: the role of patients, general practitioners and centre factors

2020 ◽  
Author(s):  
Mª Carmen Castillejos Anguiano ◽  
Carlos Martín Pérez ◽  
Antonio Bordallo Aragon ◽  
Jesus Sepúlveda Muñoz ◽  
Berta Moreno Küstner
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
General Practitioners ◽  
Primary Care Centre ◽  
Mental Health Training ◽  
Care Centre ◽  
Health Training ◽  
Patient Variables ◽  
Number Of Visits

Abstract Background. Patients with schizophrenia and related disorders have more physical problems than the general population. Primary care professionals play an important role in the care of these patients as they are the main entry point into the healthcare system. We aimed to identify patient, general practitioner, and primary care centre factors associated with the number of visits of patients with schizophrenia and related disorders to general practitioners.Methods. A descriptive, cross-sectional study was conducted in 13 primary care centres belonging to the Clinical Management Unit of Mental Health of the Regional Hospital of Málaga, Spain. The eligible population was composed of patients with schizophrenia and related disorders attending the primary care centres in the study area, and the general practitioners who attend these patients. Our dependent variable was the total number of general practitioner visits made by patients with schizophrenia and related disorders during the 3.5-year observation period. The independent variables were grouped into three: a) patient variables (sociodemographic and clinical), b) general practitioner variables, and c) primary care centre characteristics. Descriptive, bivariate, and multivariate analyses using the random forest method were performed.Results. A total of 259 patients with schizophrenia and related disorders, 96 general practitioners, and 13 primary care centres were included. The annual mean was 3.9 visits per patient. The results showed that younger general practitioners, patients who were women, patients who were married, some primary care centres to which the patient belonged, taking antipsychotic medication, presenting any cardiovascular risk factor, and more frequency of mental health training sessions at the primary care centre were associated with an increased number of visits to general practitioners.Conclusions. The only general practitioner variable that was associated with the number of visits was age, the older the less contact. There were also patient variables involved in the number of visits. Finally, mental health training for general practitioners was important for these professionals to manage patients with schizophrenia and related disorders.

scholarly journals Factors Associated with the Use of Primary Care Centres in Persons with Schizophrenia

2020 ◽  
Author(s):  
Mª Carmen Castillejos Anguiano ◽  
Carlos Martín Pérez ◽  
Antonio Bordallo Aragon ◽  
Berta Moreno Küstner
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
General Practitioners ◽  
Primary Care Centre ◽  
Mental Health Training ◽  
Care Centre ◽  
Factors Associated ◽  
Patient Variables ◽  
Number Of Visits

Abstract Background. Patients with schizophrenia and related disorders have more physical problems than the general population. Primary care professionals play an important role in the care of these patients as they are the main entry point into the healthcare system. We aimed to identify patient, general practitioner, and primary care centre factors associated with the number of visits of patients with schizophrenia and related disorders to general practitioners.Methods. A descriptive, cross-sectional study was conducted in 13 primary care centres belonging to the Clinical Management Unit of Mental Health of the Regional Hospital of Málaga, Spain. The eligible population was composed of patients with schizophrenia and related disorders attending the primary care centres in the study area, and the general practitioners who attend these patients. Our dependent variable was the total number of general practitioner visits made by patients with schizophrenia and related disorders during the 3.5-year observation period. The independent variables were grouped into three: a) patient variables (sociodemographic and clinical), b) general practitioner variables, and c) primary care centre characteristics. Descriptive, bivariate, and multivariate analyses using the random forest method were performed.Results. A total of 259 patients with schizophrenia and related disorders, 96 general practitioners, and 13 primary care centres were included. The annual mean was 3.9 visits per patient. The results showed that younger general practitioners, patients who were women, patients who were married, some primary care centres to which the patient belonged, taking antipsychotic medication, presenting any cardiovascular risk factor, and more frequency of mental health training sessions at the primary care centre were associated with an increased number of visits to general practitioners.Conclusions. The only general practitioner characteristic that was associated with the number of visits was age. There were also patient variables involved in the number of visits. Finally, mental health training for general practitioners was important for these professionals to manage patients with schizophrenia and related disorders.

scholarly journals Factors Associated with the Use of Primary Care Centres in Persons with Schizophrenia

2020 ◽  
Author(s):  
MCarmen Castillejos Anguiano ◽  
Carlos Martín Pérez ◽  
Antonio Bordallo Aragon ◽  
Berta Moreno Küstner
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
General Practitioners ◽  
Primary Care Centre ◽  
Mental Health Training ◽  
Care Centre ◽  
Factors Associated ◽  
Patient Variables ◽  
Number Of Visits

Abstract Background. Patients with schizophrenia and related disorders have more physical problems than the general population. Primary care professionals play an important role in the care of these patients as they are the main entry point into the healthcare system. We aimed to identify patient, general practitioner, and primary care centre factors associated with the number of visits of patients with schizophrenia and related disorders to general practitioners. Methods. A descriptive, cross-sectional study was conducted in 13 primary care centres belonging to the Clinical Management Unit of Mental Health of the Regional Hospital of Málaga, Spain. The eligible population was composed of patients with schizophrenia and related disorders attending these primary care centres in the study area. Our dependent variable was the total number of general practitioner visits made by patients with schizophrenia and related disorders during the 3.5-year observation period. The independent variables were grouped into three: a) patient variables (sociodemographic and clinical), b) general practitioner variables, and c) primary care centre characteristics. Descriptive, bivariate, and multivariate analyses using the random forest method were performed. Results. A total of 259 patients with schizophrenia and related disorders, 96 general practitioners, and 13 primary care centres were included. The annual mean was 3.9 visits per patient. The results showed that general practitioner age, patient gender, patient marital status, primary care centre to which the patient belonged, taking antipsychotic medication, presenting any cardiovascular risk factor, and frequency of mental health training sessions at the primary care centre were associated with an increased number of visits to general practitioners. Conclusions. The only general practitioner characteristic that was associated with the number of visits was age. There were also patient variables involved in the number of visits. Finally, mental health training for general practitioners was important for these professionals to manage patients with schizophrenia and related disorders.

Effective methodology for mental health training of general practitioners

2003 ◽  
Vol 2 (4) ◽  
pp. 218-225 ◽  
Author(s):  
Grant BLASHKI ◽  
Brian JOLLY ◽  
Leon PITERMAN ◽  
Jane GUNN
Keyword(s):  
Mental Health ◽  
General Practitioners ◽  
Mental Health Training ◽  
Health Training

Mental health training of primary care residents: A review of recent literature (1974–1981)

1983 ◽  
Vol 5 (3) ◽  
pp. 157-169 ◽  
Author(s):  
Barbara J. Burns ◽  
Jack E. Scott ◽  
Jack D. Burke ◽  
Larry G. Kessler
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Recent Literature ◽  
Mental Health Training ◽  
Health Training

scholarly journals Impact of different approaches of primary care mental health on the prevalence of mental disorders

2017 ◽  
Vol 19 (03) ◽  
pp. 256-263 ◽  
Author(s):  
Leonardo Moscovici ◽  
Joao Mazzoncini de Azevedo-Marques ◽  
Lívia Maria Bolsoni ◽  
Antonio Luiz Rodrigues-Junior ◽  
Antonio Waldo Zuardi
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Logistic Regression ◽  
Mental Disorders ◽  
Economic Status ◽  
Binary Logistic Regression ◽  
Mental Health Training ◽  
Health Training ◽  
Primary Care Mental Health ◽  
The Impact

AimTo compare the impact of three different approaches to primary care mental health on the prevalence of mental disorders.BackgroundMillions of people suffer from mental disorders. As entry point into the health service, primary healthcare plays an important role in providing mental health prevention and treatment.MethodsRandom sample of households in three different areas of the city of Ribeirão Preto (state of São Paulo, Brazil) were selected, and 20 trained medical students conducted interviews using a mental health screening instrument, the Mini-Screening of Mental Disorders, and a socio-demographic datasheet. Primary care mental health was provided in each area through a specific approach. The influence of the area of residence and the socio-demographic variables on the prevalence of mental disorder was explored and analyzed by univariate binary logistic regression and then by a multiple logistic regression model.FindingsA total of 1545 subjects were interviewed. Comparison between the three areas showed a significantly higher number of people with mental disorders in the area covered by the primary care team that did not have physicians with specific primary care mental health training, even when this association was adjusted for the influence of age, education, and socio-economic status.Our results suggest that residing in areas with family physicians with mental health training is associated with a lower prevalence of mental disorders.

Improving Mental Health Training for Primary Care Residents

2017 ◽  
Vol 19 (5) ◽  
Author(s):  
Peter J. Ureste ◽  
Tammy L. Duong ◽  
Andreea L. Seritan ◽  
Ana-Maria Iosif ◽  
Donald M. Hilty
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Training ◽  
Health Training
Sign in / Sign up

Export Citation Format

Share Document