Cooperación entre atención primaria y servicios de salud mental

Luciano, Juan V.; Sánchez, Ana Fernández; Serrano‐Blanco, Antoni; Pinto‐Meza, Alejandra; Palao, Diego; Menéndez, Mercè Mercader; Abad, Josep Maria Haro

doi:10.1016/j.aprim.2008.05.007

Cited by 10 publications

(6 citation statements)

References 21 publications

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“…We found that mental health team visits to PCCs usually occurred 3 or more times a month and training visits took place once a month. In 92.4% of cases communication between the CMHU and GP was rated at as good or very good; in a similar study carried out in Catalonia cooperation between primary care and specialist services in mental health was considered satisfactory [ 24 ]. These results contrast with a report that French GPs thought there was a lack of communication between mental health services and primary care services [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with visits to general practitioners in patients with schizophrenia in Malaga

et al. 2018

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BackgroundPatients with psychiatric disorders have more physical problems than other patients, so their follow-up by the general practitioner is particularly important for them.MethodsWe aimed to elaborate a multilevel explanatory model of general practitioner (GP) visits made by patients with schizophrenia and related disorders (SRD). An observational, cross-sectional study was conducted from January 1, 2008 to July 1, 2011, in the area of the Clinical Management Unit of Mental Health (CMU-MH) of the Regional Hospital of Malaga (Spain). The eligible population consisted of all patients with SRD in contact with a GP residing in the study area. Our dependent variable was total number GP visits. The independent variables were: 1) patient variables (sociodemographic and clinical variables); 2) primary care centre (PCC) variables. We performed descriptive analysis, bivariate analysis and multilevel regression.ResultsFour hundred ninety four patients were included. Mean annual number of GP visits was 4.1. Female sex, living in a socioeconomically deprived area, a diagnosis of schizoaffective disorder and contact with a GP who had a more active approach to mental health issues were associated with a higher number of visits whilst being single and good communication between the PCC and mental health teams were associated with a lower number of GP visits.ConclusionsNumber of GP visits was not just associated with patient factors, but also with organisational and the involvement of health professionals, for example GPs with an active approach to mental health issues.Electronic supplementary materialThe online version of this article (10.1186/s12875-018-0866-7) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Factors associated with visits to general practitioners in patients with schizophrenia in Malaga

et al. 2018

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“…Research performed in the Netherlands revealed similar trends: GPs’ diagnoses of mental health problems decreased and their referral to secondary care increased from 1987 to 2001 [ 11 ]. Such findings indicate a real need to build GPs’ skills in the assessment and management of mental health disorders [ 12 ] and to improve GPs’ collaboration with mental healthcare teams in general and psychiatrists in particular [ 13 , 14 ]. However, increased referral of mentally ill patients by GPs to secondary health care could also reflect the peculiarities of the mental healthcare sector in the country.…”

Section: Introductionmentioning

confidence: 99%

Preparedness of Lithuanian general practitioners to provide mental healthcare services: a cross-sectional survey

Jaruševičienė

Sauliūnė

Jaruševičius

et al. 2014

Int J Ment Health Syst

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BackgroundA large unmet need for mental healthcare in Lithuania is partially attributable to a lack of primary care providers with skills in this area. The aim of this study was to assess general practitioners’ (GPs) experience in mental healthcare and their perceptions about how to increase their involvement in the field.MethodsIn this cross-sectional study, a 41-item questionnaire was distributed to a random sample of 797 Lithuanian GPs in order to investigate current practices in their provision of mental healthcare as well as their suggestions for the improvement of mental healthcare services in primary care.ResultsThe response rate was 52.2%. Three-quarters of the GPs agreed that they feel responsible for the management of mental health problems, but only 8.8% of them agreed that “My knowledge in mental healthcare is sufficient”. Psychiatrists were identified as the mental healthcare team specialists with whom 32% of the respondents discuss the management of their patients with a mental disorder. Collaboration with psychologists and social workers was almost threefold lower (11.6% and 12.5%). Capacity-building of GPs was found to be among the most promising initiatives to improve mental health services in primary care. Other strategies mentioned were policy level and managerial measures as well as strengthening the teamwork approach in mental healthcare.ConclusionsThis study found a low self-reported competence of GPs in mental healthcare and low collaboration among GPs and other specialists in providing mental healthcare. For the situation to improve in the country, these findings point to a need for strategies to improve GPs’ expertise and teamwork in mental healthcare.

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“…Los resultados de la experiencia piloto «AP-SM Depresión» muestran la factibilidad y los efectos positivos de un proyecto colaborativo promovido desde AP y SM, con aportaciones respecto de estudios previos en nuestro medio12, 13, 15, 16, como la integración de intervenciones sobre diferentes áreas de colaboración, el enfoque pluridisciplinario y participativo, los datos poblacionales y el importante número de profesionales implicados.…”

Section: Discussionunclassified

“…En este caso, se utilizó como indicador comparativo el de los Contratos Programa y de Gestión Clínica vigentes: paroxetina + fluoxetina + citalopram + sertralina/antidepresivos totales salvo inhibidores de la monoaminooxidasa y tricíclicos. También se elaboró una encuesta adaptada de cuestionarios previos12, 26, que fue distribuida al comienzo y al final del periodo piloto del 2013 para conocer las valoraciones de los profesionales sobre los distintos ejes de intervención y sus efectos en la carga de trabajo asistencial, las interrelaciones con el equipo promotor y las expectativas de futuro (anexo).…”

Section: Materials Y Métodosunclassified

“…Uno de los retos reconocidos en el tratamiento y el seguimiento de estos pacientes es la insuficiente coordinación entre los distintos niveles de atención, teniendo en cuenta su frecuente cronicidad, comorbilidad asociada y necesidad, por tanto, de una AP accesible y de calidad5, 6, 7. En consecuencia, en los últimos años se han publicado diferentes estudios en nuestro medio corroborando dichas carencias y reclamando cambios orientados a promover la colaboración entre AP y Salud Mental (SM)8, 9, 10, 11, 12, 13, 14, 15, 16.…”

Section: Introductionunclassified

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Colaboración atención primaria-salud mental en la asistencia a pacientes con depresión: evaluación de una experiencia piloto

et al. 2016

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Cooperación entre atención primaria y servicios de salud mental

Abstract: The cooperation between the PC and the specialised mental health services of Catalonia is optimal in some aspects, but patient waiting time needs to be reduced for first visits to the AMHC and training activities offered by the CAMHC and the ACT need to be increased.

Cited by 10 publications

References 21 publications

Factors associated with visits to general practitioners in patients with schizophrenia in Malaga

Factors associated with visits to general practitioners in patients with schizophrenia in Malaga

Preparedness of Lithuanian general practitioners to provide mental healthcare services: a cross-sectional survey

Colaboración atención primaria-salud mental en la asistencia a pacientes con depresión: evaluación de una experiencia piloto

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