The Two Town Study: A Comparison of Psychiatric Illness in Two Contrasting Western Australian Mining Towns

1975 ◽  
Vol 9 (2) ◽  
pp. 85-92 ◽  
Author(s):  
P. W. Burvill ◽  
Cecil B. Kidd
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Psychiatric Illness ◽  
Psychiatric Morbidity ◽  
The Other ◽  
Attendance Rate ◽  
Practice Survey ◽  
South West ◽  
General Practice Consultation ◽  
Western Australian

The results are presented of a survey of patients identified by their general practitioner as having conspicuous psychiatric morbidity, according to Kessel's (1960) Classification, during a three months general practice survey in two Western Australian towns, one, Gynalla, a new expanding town in the Pilbara area and the other, Jaburoo, an established economically stagnant town in the South West. The findings show a higher general practice consultation attendance rate for both sexes, and a higher rate of psychiatric illness among females, in Jaburoo than in Gynalla. In Gynalla psychiatric cases among women formed a disproportionately high percentage of all general practice attendances. The implications of these findings are discussed.

Pathways of Specialist Referral of Depressed Patients from General Practice

1974 ◽  
Vol 124 (580) ◽  
pp. 231-239 ◽  
Author(s):  
T. J. Fahy
Keyword(s):  
General Practice ◽  
Affective Disorders ◽  
Psychiatric Illness ◽  
Psychiatric Morbidity ◽  
Indirect Evidence ◽  
Clinical Factors ◽  
Specialist Referral ◽  
Epidemiological Surveys ◽  
The Social ◽  
Referral Letters

Of patients with ‘conspicuous psychiatric morbidity’ in British general practice, 5 per cent annually are seen by psychiatrists, roughly equal numbers are referred to non-psychiatric specialists (Shepherd, Cooper, Brown and Kalton, 1966), and cross-referral rates are low (Mezey and Kellett, 1971). The clinical, as opposed to the social, reasons why so few patients are referred to psychiatrists must be inferred from the indirect evidence of epidemiological surveys (Shepherd et al., 1966), studies of patients already referred to an out-patients clinic (Kreitman, Sainsbury, Pearce and Costain, 1965), doctors' referral letters (Mowbray, Blair, Jubb and Clarke, 1961), and surveys of doctors' attitudes (Shepherd et al., 1966; Mezey and Kellett, 1971). Few studies of referral have been prospective (Kaeser and Cooper, 1971) and none has been by interview of patients before referral has taken place. Meanwhile, detailed clinical studies of psychiatric illness continue to focus almost exclusively on patients already in care of psychiatrists. It follows that more knowledge is needed of the clinical factors which lead to specialist referral; otherwise the significance of hospital-based studies for the wider context of psychiatry in general medical practice cannot be properly appreciated. This need is particularly acute with respect to the so-called minor affective disorders which are common in general practice but of which only a minority come to the notice of psychiatrists (Watts, 1966; Taylor and Chave, 1964).

scholarly journals The Peckham Health Centre, “PEP”, and the concept of general practice during the 1930s and 1940s

1983 ◽  
Vol 27 (2) ◽  
pp. 151-161 ◽  
Author(s):  
Jane Lewis ◽  
Barbara Brookes
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Medical Practice ◽  
Health Centre ◽  
Economic Planning ◽  
The Other ◽  
The Political ◽  
Group Practice ◽  
Health Group ◽  
Health Centres

AbstractThis paper documents the proposals put forward by George Scott Williamson and Innes Pearse, founders of the Peckham Health Centre and members of the Political and Economic Planning (PEP) Health Group, to enhance the role and status of the general practitioner (GP). Their ideas are significant in terms of their understanding of the threat that specialism posed to general practice and of the problems of control and finance raised by reform. Their solution - the establishment of GP therapeutic centres or cells - is located in terms of their own ideas regarding health and medical practice and is compared with the other major proposal for group practice in health centres, which emanated from the Dawson Committee in 1920. Finally, the paper provides some suggestions as to the reason for their failure.

Screening for psychiatric disorder in general practice

1984 ◽  
Vol 14 (2) ◽  
pp. 365-377 ◽  
Author(s):  
David Skuse ◽  
Paul Williams
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Psychiatric Disorder ◽  
Psychiatric Morbidity ◽  
Consecutive Series ◽  
Theoretical Discussion ◽  
True Prevalence ◽  
Screening Strategies

SynopsisThe extent of psychiatric morbidity was investigated in a consecutive series of patients attending a south London general practitioner. The GP identified a psychiatric component in the reason for consultation in 40% of the sample, and he regarded 24% as ‘psychiatric cases’. The estimated true prevalence of psychiatric morbidity in the sample was 34%. These data are used as the basis for a theoretical discussion of prescriptive screening strategies for psychiatric disorder in general practice.

Factors associated with psychiatric morbidity in men - a general practice survey

1985 ◽  
Vol 71 (3) ◽  
pp. 281-286 ◽  
Author(s):  
P. R. Hobbs ◽  
C. B. Ballinger ◽  
A. McClure ◽  
B. Martin ◽  
C. Greenwood
Keyword(s):  
General Practice ◽  
Psychiatric Morbidity ◽  
Practice Survey ◽  
Factors Associated

The relationship between symptoms and diagnoses of minor psychiatric disorder in general practice

1987 ◽  
Vol 17 (4) ◽  
pp. 933-942 ◽  
Author(s):  
D. A. Grayson ◽  
K. Bridges ◽  
P. Duncan-Jones ◽  
D. P. Goldberg
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Psychiatric Disorder ◽  
Psychiatric Illness ◽  
Latent Trait ◽  
Diagnostic System ◽  
Two Dimensions ◽  
Anxiety And Depression ◽  
Diagnostic Systems ◽  
The Relationship

SynopsisIn an earlier paper (Goldberg et al. 1987) 36 common symptoms of minor psychiatric disorder in general practice were analysed using the technique of latent trait analysis. From this analysis two dimensions of illness emerged, corresponding to anxiety and depression. In the present paper, this symptom-based representation of minor psychiatric illness is used as a framework for comparing four diagnostic systems: General Practitioner (GP) diagnoses, the ID-CATEGO diagnostic system, the DSM-III system and the Bedford College diagnostic system. This analysis clarifies the reasons for disagreement among systems of diagnostic criteria and examines the practical effects of alternative diagnostic algorithms.

Personality Disorder and Psychiatric Illness in General Practice

1990 ◽  
Vol 156 (2) ◽  
pp. 261-265 ◽  
Author(s):  
Patricia R. Casey ◽  
Peter Tyrer
Keyword(s):  
Personality Disorder ◽  
Psychiatric Illness ◽  
Psychiatric Morbidity ◽  
Structured Interview ◽  
The Other ◽  
High Rate ◽  
Interview Schedule ◽  
General Practices ◽  
One Year ◽  
Alcohol Abuse And Dependence

In a one-year prevalence study of conspicuous psychiatric morbidity in two group general practices, one urban and the other rural, personality disorder was diagnosed in 5.3% by the GP and in 5.6% by the psychiatrist, but this increased to 28% when personality disorder was assessed using a structured interview. The prevalence of personality disorder was higher in the urban practice than in the rural one but there was no consistent association between personality disorder and mental state disorder, with the exception of alcohol abuse and dependence. The high rate of personality disorder found using the interview schedule is likely to be a true finding, and failure to recognise this hidden morbidity is important in both general and psychiatric practice.

The Pattern of Psychiatric Morbidity in a Victorian Urban Aboriginal General Practice Population

1992 ◽  
Vol 26 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Jane McKendrick ◽  
Trevor Cutter ◽  
Alan Mackenzie ◽  
Edmond Chiu
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Health Service ◽  
Psychiatric Disorders ◽  
Aboriginal People ◽  
Psychiatric Morbidity ◽  
Aboriginal Health ◽  
Cultural Group ◽  
Sociodemographic Variables ◽  
Practice Population

Victorian Aboriginal people, most of whom live an urban lifestyle, form a distinct cultural group within the wider Victorian community. This paper describes a unique psychosocial study of urban Aboriginal adults attending a general practitioner at the Victorian Aboriginal Health Service in Fitzroy. The frequency and nature of psychiatric disorders among survey respondents is reported, together with a discussion of the association between this morbidity and certain sociodemographic variables.

scholarly journals The impact of non-health attributes of care on patients' choice of GP

2005 ◽  
Vol 11 (1) ◽  
pp. 40 ◽  
Author(s):  
Marion Haas
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Discrete Choice ◽  
Choice Experiment ◽  
The Past ◽  
Health Factors ◽  
General Practice Consultation ◽  
Minor Condition ◽  
A Minor ◽  
The Impact

After completing a structured evaluation of their general practitioner (GP) in terms of non-health factors, 128 people who had visited their GP in the past six months for treatment of a minor condition were administered a discrete choice experiment (DCE) designed to evaluate their preferences for non-health attributes of care within a general practice consultation. SAS and SYSTAT were used to analyse responses. Trust, legitimation, recognition of and support for emotional distress, dignity, reassurance and information (whether it is asked for or not), were the attributes respondents valued most highly. In general, participants were unwilling to change GPs.

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