scholarly journals The role of the psychiatrist in learning disability

1994 ◽  
Vol 18 (4) ◽  
pp. 205-206 ◽  
Author(s):  
Sarah H. Bernard ◽  
Rosalind E. Bates
Keyword(s):  
Primary Care ◽  
Learning Disability ◽  
General Practitioners ◽  
Postal Questionnaire ◽  
Further Education ◽  
Care Level ◽  
Primary Care Level ◽  
Lack Of Knowledge

This study assessed, by postal questionnaire, how the role of the psychiatrist in learning disability is perceived by general practitioners. One hundred and forty-six GPs were questioned on various aspects of assessment and management that the psychiatrist in learning disability might be involved with; 43.5% of questionnaires were returned. The results indicated that confusion continues. The psychiatrist was perceived as having a global role in the care of this group of patients with lack of knowledge of community teams for learning disability being evident. Further education at a primary care level is indicated.

Management of Somatisers in Primary Care: Are Family Doctors Motivated?

1998 ◽  
Vol 32 (4) ◽  
pp. 528-533 ◽  
Author(s):  
Javier Garcia-Campayo ◽  
Concepcion Sanz-Carrillo ◽  
Amaya Yoldi-Elcid ◽  
Rosa Lopez-Aylon ◽  
Carmen Monton
Keyword(s):  
Primary Care ◽  
General Practitioners ◽  
Specific Treatment ◽  
Postal Questionnaire ◽  
Management Program ◽  
Care Level ◽  
Primary Care Level ◽  
Family Doctors ◽  
Modify General ◽  
Health Districts

Objective: The aim of this paper is to assess the attitudes of Spanish general practitioners towards somatisers and the degree of involvement that family doctors are ready to adopt in the care of these patients. Method: A postal questionnaire on attitudes was sent to a representative sample (n = 135) of general practitioners from two health districts of the region of Aragon. Seventy (51.8%) of them returned usable questionnaires. Results: Most of the general practitioners were interested in the treatment of somatisers and considered that they should be treated at primary care level. However, when specific treatment tasks were proposed, they only accepted to act as a filter to specialised care and to care for patients with chronic functional syndromes. Additionally, they refuse to detect presenting somatisers, to prescribe psychotropic drugs or offer any psychological approach, and to avoid reinforcing abnormal illness behaviour in these patients and their families. These findings can be explained because the main emotions somatisers produce in doctors are frustration and anger. Conclusions: Family doctors need a lot more help, education and support in the management of somatisers, and psychiatrists need to provide it. Any management program for the treatment of somatisers in primary care should include methods to modify general practitioners' attitudes towards these patients.

The Role of Referrals in Diagnosing Dementia at the Primary Care Level

1999 ◽  
Vol 11 (3) ◽  
pp. 251-262 ◽  
Author(s):  
Steffi G. Riedel-Heller ◽  
Astrid Schork ◽  
Herbert Matschinger ◽  
Matthias C. Angermeyer
Keyword(s):  
Primary Care ◽  
Care Level ◽  
Primary Care Level ◽  
Diagnosis And Management ◽  
Cooperative Relationships ◽  
Therapeutic Orientation ◽  
Diagnosis Of Dementia ◽  
Self Help Groups ◽  
Referral Behavior

Background: Demographic changes indicating a general aging of the population suggest that the key role of general practitioners (GPs) in the diagnosis and management of dementia becomes more salient. The encouragement of GPs to collaborate with specialists is one chance to support GPs in performing a variety of functions associated with the diagnosis and management of dementia. Method: We used a questionnaire to investigate the role of referrals in diagnosing dementia at the primary care level and variables potentially influencing the referral behavior of German GPs (n = 563). Results: Only 31% of the GPs stated that the diagnosis of dementia was made predominantly in the context of referral to a specialist. The chance that referrals were made was increased for those GPs who entertained extensive cooperative relationships with self-help groups, psychologists, or the “Alzheimer Society”/“Brain League” (odds ratio [OR] 1.74) and for those GPs who perceived a great preparedness on the part of the relatives of the patient to comply with a referral (OR 2.29) as well as who noticed a great readiness among specialists to accept patients for the diagnosis of dementia (OR 2.55). GPs whose therapeutic orientation was shaped by further training and scientific literature were more likely to refer (OR 3.54). Discussion: Enhancing the liaison between GPs and specialist physicians by improving the psychogeriatric competence of GPs as well as the connection to nonmedical services is discussed.

scholarly journals Effectiveness of a brief intervention based on the '5A' model for smoking cessation at the primary care level in Santiago, Chile

2008 ◽  
Vol 23 (3) ◽  
pp. 240-250 ◽  
Author(s):  
K. Puschel ◽  
B. Thompson ◽  
G. Coronado ◽  
Y. Huang ◽  
L. Gonzalez ◽  
...  
Keyword(s):  
Primary Care ◽  
Smoking Cessation ◽  
Brief Intervention ◽  
Care Level ◽  
Primary Care Level

scholarly journals Exploring general practitioners’ perceptions about the primary care gatekeeper role in Indonesia

2020 ◽  
Author(s):  
Joko Mulyanto ◽  
Yudhi Wibowo ◽  
Dionne S. Kringos
Keyword(s):  
Primary Care ◽  
General Practitioners ◽  
Work Experience ◽  
Healthcare Delivery ◽  
Care Facility ◽  
Personal Factors ◽  
Healthcare Delivery System ◽  
Cross Sectional ◽  
And Performance

Abstract Background In the current healthcare delivery system funded by National Health Insurance (NHI) in Indonesia, the gatekeeper role of primary care services is critical to ensuring equal healthcare access for the population. To be effective, gatekeeping relies on the performance of general practitioners (GPs). However, the perceptions held by Indonesian GPs about their gatekeeper role are not yet well documented. This study describes the self-perceived knowledge, attitudes and performance of Indonesian GPs with respect to the gatekeeper role and explores associated factors. Methods We conducted a cross-sectional study of all primary care facilities (N = 75) contracted by the regional NHI office in the Banyumas district. The 73 participating GPs completed a written questionnaire that assessed their knowledge, attitudes and performance in relation to the gatekeeper role. Personal and facility characteristics were analysed in a generalised linear model as possible associating factors.Results GPs scored relatively high in the domains of knowledge and performance but scored lower in their attitudes towards the gatekeeper role of primary care. In the full-adjusted model, no factors were significantly associated with the knowledge score. Work experience as GPs, private or civil service employment status and rural or urban location of the primary care facility were linked to attitude scores. Full- or part-time employment and type of facility were factors associated with the performance score. Conclusion GPs in Indonesia are knowledgeable and report that they adequately perform their function as gatekeepers in primary care. However, their attitudes towards the gatekeeper function are less positive. Attitudes and performance with respect to the primary care gatekeeper role are likely influenced more by contextual factors such as location and type of facility than by personal factors. Efforts to address contextual issues could include improvements in practice standards for privately practising physicians and public information campaigns about gatekeeping regulations. Such efforts will be crucial to improving the gatekeeper role of primary care in Indonesia and assuring efficient access to high-quality care for all.

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