捷克共和国初级保健和精神分裂症的早期阶段

D. Holub, B. Wenigová, D. Umbricht, A. Simon
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引用次数: 0

摘要

目的:探讨布拉格全科医生(GP)与早期精神病患者相关的知识、治疗环境、态度和需求,并将结果与参与早期精神病国际全科医生研究(IGPS)的6个国家(加拿大、澳大利亚、新西兰、英国、挪威、奥地利)的全科医生进行比较。方法:向布拉格648名全科医生邮寄调查问卷。结果:有效率为19.9%。布拉格的全科医生对精神病早期阶段的诊断知识明显低于他们的国际同事。他们经常指出抑郁/焦虑和躯体症状是精神病的早期预警。他们通常认为自己的行为有问题,更常见的是将问题交给专家。布拉格的大多数全科医生希望为这类患者提供低门槛转诊的专门门诊服务。结论-随着捷克共和国强调初级保健作用的精神卫生改革,全科医生对精神病早期预警信号的认识需要提高。利益声明:该研究由瑞士赛诺菲- synthsamabo SA向IGPS (AES, DU)的主要研究者提供无限制资助。作者说没有;所有作者均独立于资助机构,本文所表达的观点不受资助来源的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Primary care and the early phases of schizophrenia in the Czech Republic
SUMMARY Aim – To explore knowledge, treatment setting, attitudes and needs associated with patients in early phases of psychosis among general practitioners (GPs) in Prague, andto compare results with GPs from 6 countries participating in the International GP Study (IGPS) on Early Psychosis (Canada, Australia, New Zealand, England, Norway,Austria). Methods – Survey questionnaires were mailed to 648 GPs in the city of Prague. Results – The response rate was 19.9%. Prague GPs showed significantly lower diagnostic knowledge of early phases of psychosis compared to their international colleagues. They frequently indicated depression/anxiety and somatic complaints as early warnings of psychosis. They more often considered their behaviour to be problematic and more commonly handed them over to specialists. The majority of Prague GPs wished specialized outpatient services for low-threshold referrals of such patients. Conclusions – Along the mental health reforms in the Czech Republic which emphasis the role of primary care, GPs' knowledge of the early warning signs of psychosis needs to be improved. Declaration of Interest: The study was supported by an unrestricted grant from Sanofi-Synthélabo SA, Switzerland, to the principal investigators of the IGPS (AES, DU). The authors have stated that there are none; all authors are independent from the funding body and the views expressed in this paper have not been influenced by the funding source.
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