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.

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 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 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.

Developing an Integrated Mental Health Care Service: Description of a Pilot Mental Health Consultation/Liaison Clinic in a Primary Care Centre

2012 ◽  
Vol 29 (3) ◽  
pp. 190-193 ◽  
Author(s):  
Nicolas Ramperti ◽  
Daniel De La Harpe Golden ◽  
Iro Chinedu ◽  
Seathrun O'Casaide ◽  
Frank Kelly
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Secondary Care ◽  
Health Care Service ◽  
Primary Care Centre ◽  
Health Clinic ◽  
Mental Health Clinic ◽  
Care Centre

AbstractTo determine if a consultation/liaison mental health clinic in primary care as proposed for Vision for Change, The Primary Care Strategy and the Department of Health is an efficient model of delivering mental health care in Ireland.Methods: The pattern of service use and the clinical characteristics of new patients attending a pilot consultation/liaison clinic in a local primary care centre were studied.Results: During the first 16 months of this clinic 1.2% of patients did not attend the initial assessment in the liaison clinic versus 29.75% in the regular Outpatients Department (OPD). Less than one in five (17.1%) required a follow-up review with the clinician in the consultation/liaison clinic compared to almost all patients first seen in OPD secondary care (96.6%). A small minority of patients (6.1%) needed referral to secondary care due to the complexity of their presentation.Conclusions: A consultation/liaison mental health clinic in primary care results in an efficient use of manpower resources due to the low Did Not Attend (DNA) rates and low proportion of formal referrals to secondary care. As patients seem to favour this type of setting, over traditional outpatient departments, a move towards consultation/liaison clinics in the primary care team should be considered.

Challenging care work: General practitioners’ perspectives on caring for young adults with complex psychosocial problems

2019 ◽  
pp. 136345931987410
Author(s):  
Julie Høgsgaard Andersen ◽  
Tine Tjørnhøj-Thomsen ◽  
Susanne Reventlow ◽  
Annette Sofie Davidsen
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Young Adults ◽  
General Practitioners ◽  
Mental Health Problems ◽  
Psychosocial Problems ◽  
Health Problems ◽  
Care Work ◽  
Psychiatric Nurses ◽  
Provision Of Care

The international literature shows that primary care is well placed to address mental health problems in young people, but that primary care professionals experience a range of challenges in this regard. In Denmark, young adults who have complex psychosocial problems, and who are not in education or work, cause political and academic concern. They are also in regular contact with their general practitioners, the Danish municipalities and psychiatric services. However, little is known about general practitioners’ perspectives on caring for this vulnerable group of patients. In this article, we investigate how general practitioners’ care work is shaped by the bureaucratic management of care in a complex infrastructure network comprising the general practitioners, psychiatry, the municipalities and the young adults. The analysis is based on interviews and focus groups with general practitioners, psychiatric nurses and social workers. We employ Tronto’s concept of care and the concept of boundary work as a theoretical framework. We argue that general practitioners strive to provide care, but they are challenged by the following: contested diagnostic interpretations and the bureaucratic significance of diagnoses for the provision of care from psychiatry and the municipalities, systemic issues with handling intertwined social and mental health problems, and the young adults’ difficulties with accessing and receiving available care.

Factors associated with coach–athlete conversations about mental health in intercollegiate sport

2021 ◽  
pp. 174795412199345
Author(s):  
Jessica Murphy ◽  
Philip Sullivan
Keyword(s):  
Mental Health ◽  
Social Norms ◽  
Behavioral Control ◽  
Health Improvement ◽  
Perceived Behavioral Control ◽  
Mental Health Training ◽  
Significant Interaction Effect ◽  
Health Training ◽  
Factors Associated ◽  
Team Culture

Increasing conversation about mental health is one way to decrease stigma and prevent/treat maladaptive processes within the context of sport. Due to their proximity and influence over athletes, coaches can increase conversation and change team culture. The objective of this study was to apply the Theory of Planned Behavior (TPB) to explore the factors associated with coach-athlete conversation about mental health. A total of 136 Canadian coaches completed a demographic questionnaire as well as a TPB-based survey measuring Attitudes, Perceived Behavioral Control (PBC), Social Norms and Intention. Intention was measured as Role perception, if a coach believed it was their role to be involved in athlete mental health. Behavior was measured as talking with an athlete(s) about mental health. Approximately 68% of coaches had spoken to athletes about mental health in the last season. The linear regression model predicted a significant amount (42.7%) of the variance in Intention ( p < .05) from the three TPB constructs. Logistic regression found a significant interaction effect of PBC and Intention on Behavior ( p < .01). Measured TPB construct scores were influenced by previous mental health training, personal experience with mental illness, age group and the act of talking ( p < .05). Although a promising amount of coaches spoke to athletes about mental health, improvement is still possible. Mental health training should continue to be promoted to all members of the athletic community. As attitude scores were generally positive, this training should potentially focus more on improving capabilities and social norms.

scholarly journals General Practitioners’ Participation in a Large, Multicountry Combined General Practitioner-Patient Survey: Recruitment Procedures and Participation Rate

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Peter P. Groenewegen ◽  
Stefan Greß ◽  
Willemijn Schäfer
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Data Collection ◽  
General Practitioners ◽  
Random Sampling ◽  
Participation Rate ◽  
Patient Survey ◽  
Complex Data ◽  
Participation Rates ◽  
Recruitment Procedure

Background. The participation of general practitioners (GPs) is essential in research on the performance of primary care. This paper describes the implementation of a large, multicountry study in primary care that combines a survey among GPs and a linked survey among patients that visited their practice (the QUALICOPC study). The aim is to describe the recruitment procedure and explore differences between countries in the participation rate of the GPs. Methods. Descriptive analyses were used to document recruitment procedures and to assess hypotheses potentially explaining variation in participation rates between countries. Results. The survey was implemented in 31 European countries. GPs were mainly selected through random sampling. The actual implementation of the study differed between countries. The median participation rate was 30%. Both material (such as the payment system of GPs in a country) and immaterial influences (such as estimated survey pressure) are related to differences between countries. Conclusion. This study shows that the participation of GPs may indeed be influenced by the context of the country. The implementation of complex data collection is difficult to realize in a completely uniform way. Procedures have to be tuned to the context of the country.

scholarly journals Commissioning mental health services: role of the consultant psychiatrist

2000 ◽  
Vol 6 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Chris Simpson
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
Health Services ◽  
Consultant Psychiatrist ◽  
Health Authorities ◽  
Care Groups

The current National Health Service (NHS) approach to commissioning health services is in flux. The purchasing of care from providers by general practitioner fundholders (GPFHs) and health authorities has changed with the new White Papers. GPFHs no longer exist and the commissioning role is being handed over from health authorities to primary care groups (PCGs). An understanding of the reasons for change and current arrangements will aid the consultant psychiatrist in influencing this process.

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