ArticleBMC family practice2009
Care for patients with severe mental illness: the general practitioner's role perspective.
Article in BMC family practice, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
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- The patient journey project in Italian mental health services: results from a co-designed survey on clinical interventions and current barriers to improve the care of people living with schizophrenia.Frontiers in psychiatry · 2024Article
- Returning-to-work after mental health-associated sick leave: a qualitative interview study exploring the experiences of general practitioners in Germany.BMC primary care · 2023Article
- Models of shared care for the management of psychotic disorder after first diagnosis in Ontario.Canadian family physician Medecin de famille canadien · 2023Article
- The Patient Journey of Schizophrenia in Mental Health Services: Results from a Co-Designed Survey by Clinicians, Expert Patients and Caregivers.Brain sciences · 2023Article
- Patient and Physician Factors Associated with First Diagnosis of Non-affective Psychotic Disorder in Primary Care.Administration and policy in mental health · 2023Article
- The role of trust and hope in antipsychotic medication reviews between GPs and service users a realist review.BMC psychiatry · 2021Review
- Implementation of a novel primary care pathway for patients with severe and enduring mental illness.BJPsych bulletin · 2017Article
- Evaluation of the performance of general practitioners in a collaborative care program by employing simulated patients.Social psychiatry and psychiatric epidemiology · 2016Article
- Cardiovascular disease treatment among patients with severe mental illness: a data linkage study between primary and secondary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
- Use of GP services by patients with schizophrenia: a national cross-sectional register-based study.BMC health services research · 2015Article
- Differential stigmatizing attitudes of healthcare professionals towards psychiatry and patients with mental health problems: something to worry about? A pilot study.Social psychiatry and psychiatric epidemiology · 2015Article
- Preparedness of Lithuanian general practitioners to provide mental healthcare services: a cross-sectional survey.International journal of mental health systems · 2014Article
- Role of the general practitioner in the care of patients recently discharged from the hospital after a first psychotic episode: influence of length of stay.The primary care companion for CNS disorders · 2011Article
- Physical healthcare of people with severe mental illness: everybody's business!Mental health in family medicine · 2010Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with severe mental illness (SMI) experience distress and disabilities in several aspects of life, and they have a higher risk of somatic co-morbidity. Both patients and their family members need the support of an easily accessible primary care system. The willingness of general practitioners and the impeding factors for them to participate in providing care for patients with severe mental illness in the acute and the chronic or residual phase were explored.
methodsA questionnaire survey of a sample of Dutch general practitioners spread over the Netherlands was carried out. This comprised 20 questions on the GP's 'Opinion and Task Perspective', 19 questions on 'Treatment and Experiences', and 27 questions on 'Characteristics of the General Practitioner and the Practice Organisation'.
results186 general practitioners distributed over urban areas (49%), urbanised rural areas (38%) and rural areas (15%) of the Netherlands participated. The findings were as follows: GPs currently considered themselves as the first contact in the acute psychotic phase. In the chronic or residual phase GPs saw their core task as to diagnose and treat somatic co-morbidity. A majority would be willing to monitor the general health of these patients as well. It appeared that GP trainers and GPs with a smaller practice setting made follow-up appointments and were willing to monitor the self-care of patients with SMI more often than GPs with larger practices.GPs also saw their role as giving support and information to the patient's family.However, they felt a need for recognition of their competencies when working with mental health care specialists.
conclusionGPs were willing to participate in providing care for patients with SMI. They considered themselves responsible for psychotic emergency cases, for monitoring physical health in the chronic phase, and for supporting the relatives of psychotic patients.
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