scholarly journals Acceptance of and intent to adopt video consultations for addressing mental health disorders in primary care: A cross-sectional mixed methods study in general practitioners

2018 ◽  
Vol 18 (s2) ◽  
pp. 378
Author(s):  
Markus W. Haun ◽  
Mariell Hoffmann ◽  
Michel Wensing ◽  
Mechthild Hartmann ◽  
Wolfgang Herzog
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jessica Hanae Zafra-Tanaka ◽  
Kevin Pacheco-Barrios ◽  
Fiorella Inga-Berrospi ◽  
Alvaro Taype-Rondan

Abstract Aim To assess the self-perceived competencies in diagnosing and treating patients with mental health disorders, among recently graduated general practitioners (GPs) from Lima, Peru. Methods A cross-sectional study was performed in April 2017 at a General Practitioner’s meeting held for those who were going to perform the social service, by the Peruvian College of Physicians in Lima. Attendees were invited to answer a questionnaire that evaluated their self-perception of competence in diagnosing and treating four different mental health disorders; major depression, anxiety disorder, alcohol dependence, and schizophrenia. Results Out of 434 evaluated GPs, the following percentages were self-perceived as competent in their adequate diagnosis of depression (70.5%), anxiety (73.3%), alcohol dependence (67.6%), and schizophrenia (62.0%). Concerning pharmacological treatment, these percentages were 46.6, 47.5, 39.0 and 37.6%, respectively. Referring to all the studied mental disorders, 41.6% of participants self-perceived competence in providing an adequate diagnosis, 36.1% in providing non-pharmacological treatment, and 20.1% in providing pharmacological treatment. Conclusion The rate of adequate self-perceived competences was higher for diagnosis than for treatment of patients with mental health disorders. These results highlight the importance of designing and implementing interventions to improve medical education so as to develop the skills necessary to confront mental health disorders.


Author(s):  
Muhammad Iqbal Afridi ◽  
Jawed Akbar Dars ◽  
Chooni Lal ◽  
Rakesh Kumar ◽  
. Sadia ◽  
...  

Objectives: To assess the general practitioner's perspective on mental illness in a tertiary health care setting. Study Setting and Duration: Online seminar in March 2020, Jinnah Postgraduate Medical Centre, Karachi. Study Design: Cross-sectional, Observational study Methodology: A total of 152 general practitioners were enrolled in the study. All house officers, psychiatric specialists, staff members, and patients were excluded from the study. An online survey instrument was used to collect data from general practitioners through social media. The questionnaire was related to the biodata of the physicians and their perspective on mental health disorders. Data was analyzed by using SPSS Version 26. Results: A total of 152 general practitioners participated in the study. The mean age of participants was 39.76 (11.540) years. The majority of them were male and married with an average experience of 12.80 (10.90) years. According to the participants, the most common symptoms experienced by patients with mental disorders were loss of appetite, hopelessness, and the loss of interest in day to day activities. The majority of the doctors confessed they find the treatment and management of psychiatric illnesses the hardest. Most of the participants were aware of the diagnostic criteria used for common mental health disorders. Over a hundred (66.4%) participants considered mental health disorders to be a medical disorder while 16 (10.5%) assumed it is the possession by supernatural creatures. 65 (42.7%) of the doctors confessed that they would not feel comfortable having a coworker or befriending a person with a diagnosed mental health issue. Conclusion: Our findings suggest that general physicians had good knowledge about common mental illnesses; however they found the management of these patients difficult. Mental health awareness and training intervention tools are needed to help improve the perspective of health care professionals towards patients with suspected mental illnesses.


2003 ◽  
Vol 44 (5) ◽  
pp. 402-406 ◽  
Author(s):  
János Füredi ◽  
Sándor Rózsa ◽  
János Zámbori ◽  
Erika Szádóczky

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Richard Idro ◽  
Angelina Kakooza-Mwesige ◽  
Benjamin Asea ◽  
Keron Ssebyala ◽  
Paul Bangirana ◽  
...  

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Petelos ◽  
M Papadakaki ◽  
C Lionis

Abstract Access to comprehensive primary care (PC) services is imperative to address the complex biopsychosocial needs of patients with mental illness and their families, while it holds the potential to safeguard mental health and enhance resilience in communities. Integration of mental health and social care services in primary care has not yet been achieved, while access to such services for the mentally ill is still hindered by patient-, provider- and system-oriented barriers. Improving service integration, quality and access requires active engagement of patients and families in the design and planning of services. Interprofessional collaboration, interdisciplinary approaches and sound deliberative processes are only the start of initiating discussions to establish the needs of local communities. Mapping care paths, involving stakeholders and engaging in practice-based research are impeded by the organisation and design of care provision, including siloed processes and semantic ambiguity in establishing common ground. Academic centres ought to act as hubs for bringing together all actors, creating living labs and addressing the needs of people in urban and rural areas. The case study from Crete will focus on the following questions: What actions are needed to improve access of people with mental health disorders to PC services and how could PC mediate effective communication with mental health services?To what extent people with mental health disorders experience violence, abuse or discriminatory behaviour in PC?To what extent PC services recognize and facilitate autonomy, self-determination and inclusion of people with mental health disorders?To what extent stakeholders and PC services engage people with mental health disorders in decision making process and local governance?To what extent educational interventions for PC practitioners could result in the reduction of discriminatory behaviour and safeguard the dignity among people with mental health disorders?


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