Abstract:
OBJECTIVE:To know the opinion of the primary health care (PHC) physicians on the assistance demand in mental health (MH), their training necessities and their attitudes about this disorders. DESIGN:Observational and transversal study. SETTING:Primary care. PARTICIPANTS:The subjects of the study were PHC physicians. From a total of 1191 PHC physicians in Castilla-La Mancha region, 301 were selected by random stratified sampling. Main measurements. A self-complimented questionnaire was elaborated, being identified the following variables: professional and sociodemographics characteristics, their perceived demands of MH problems, perceived difficulties in resolution, training in MH, knowledge about specialized resources and their attitudes about mental disorders. RESULTS:63.5% (95% confidence interval [CI], 57.6-69.4) considered that the mental problems are related with, at least, 20% of the consultations. Very frequent consulted problems were: anxiety disorders (75.9%), affective disorders (73.5%), and somatoform disorders (40.5%). 63.6% (95% CI; 57.8-69.6) considered to have enough information about specialized resources. About attitudes, 43.7% (95% CI; 37.7-49.8) said the PHC physicians cannot be taken charge of the existent demand. This opinion as significantly more frequents in physicians with more patient assigned, more assistance pressure, without postgraduate assistance formation (Spanish MIR system), with less perceived demand, without training in MH and worse knowledge of the specialized resources. CONCLUSIONS:In opinion of most of the physicians the mental disorders are related with, at least, 1 of each 5 consultations. A high proportion considers that the teams of PHC cannot be taken charge of the existent demand, mainly when it is high the assistance pressure. Most says that more specific training should exist in MH and more coordination with the specialized services.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Latorre Postigo J,López-Torres Hidalgo J,Montañés Rodríguez J,Parra Delgado Mdoi
10.1157/13076608subject
Has Abstractpub_date
2005-06-30 00:00:00pages
85-92issue
2eissn
0212-6567issn
1578-1275pii
13076608journal_volume
36pub_type
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journal_title:Atencion primaria
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journal_title:Atencion primaria
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pub_type: 杂志文章,多中心研究
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journal_title:Atencion primaria
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journal_title:Atencion primaria
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pub_type: 共识发展会议,杂志文章,实务指引
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