关于现场心理健康专业人员对全科医生临床行为影响的系统评价。
Systematic review of the effect of on-site mental health professionals on the clinical behaviour of general practitioners.
作者信息
Bower P, Sibbald B
机构信息
National Primary Care Research and Development Centre, Williamson Building, University of Manchester M13 9PL, UK.
出版信息
BMJ. 2000 Mar 4;320(7235):614-7. doi: 10.1136/bmj.320.7235.614.
Abstract
OBJECTIVES
To review the published literature concerning the effects of on-site mental health professionals on general practitioners' management of mental health.
DESIGN
Systematic review of controlled trials.
SETTING
Primary care.
PARTICIPANTS
General practitioners and mental health professionals.
MAIN OUTCOME MEASURES
Consultation rates, prescribing of psychotropics, and referrals to secondary care mental health services by general practitioners.
RESULTS
The effect of on-site mental health professionals on consultation rates was inconsistent. Referral to a mental health professional reduced the likelihood of a patient receiving a prescription for psychotropics or being referred to secondary care, although the effects were not consistent. An on-site mental health professional did not alter prescribing and referral behaviour towards patients in the wider practice population.
CONCLUSIONS
The secondary effects of mental health professionals on the clinical behaviour of general practitioners are comparatively modest and inconsistent and seem to be restricted to patients directly under the care of the mental health professional.
摘要
目的
回顾已发表的关于现场心理健康专业人员对全科医生心理健康管理影响的文献。
设计
对照试验的系统评价。
地点
初级保健机构。
参与者
全科医生和心理健康专业人员。
主要观察指标
会诊率、精神药物处方以及全科医生转介至二级心理健康服务机构的情况。
结果
现场心理健康专业人员对会诊率的影响并不一致。转介给心理健康专业人员可降低患者接受精神药物处方或被转介至二级护理机构的可能性，尽管效果并不一致。现场心理健康专业人员并未改变对更广泛实践人群中患者的处方和转介行为。
结论
心理健康专业人员对全科医生临床行为的次要影响相对较小且不一致，似乎仅限于直接接受心理健康专业人员护理的患者。
相似文献
1
Systematic review of the effect of on-site mental health professionals on the clinical behaviour of general practitioners.关于现场心理健康专业人员对全科医生临床行为影响的系统评价。
BMJ. 2000 Mar 4;320(7235):614-7. doi: 10.1136/bmj.320.7235.614.
2
On-site mental health workers in primary care: effects on professional practice.基层医疗中的现场心理健康工作者：对专业实践的影响。
Cochrane Database Syst Rev. 2000(3):CD000532. doi: 10.1002/14651858.CD000532.
3
Interventions for interpersonal communication about end of life care between health practitioners and affected people.干预健康从业者与受影响者之间关于临终关怀的人际沟通。
Cochrane Database Syst Rev. 2022 Jul 8;7(7):CD013116. doi: 10.1002/14651858.CD013116.pub2.
4
Continuing education meetings and workshops: effects on professional practice and healthcare outcomes.继续教育会议和研讨会：对专业实践和医疗保健结果的影响。
Cochrane Database Syst Rev. 2021 Sep 15;9(9):CD003030. doi: 10.1002/14651858.CD003030.pub3.
5
Conceptual framework and systematic review of the effects of participants' and professionals' preferences in randomised controlled trials.随机对照试验中参与者和专业人员偏好影响的概念框架与系统评价
Health Technol Assess. 2005 Sep;9(35):1-186, iii-iv. doi: 10.3310/hta9350.
6
Home treatment for mental health problems: a systematic review.心理健康问题的居家治疗：一项系统综述
Health Technol Assess. 2001;5(15):1-139. doi: 10.3310/hta5150.
7
Shared decision-making interventions for people with mental health conditions.心理健康问题患者的共同决策干预措施。
Cochrane Database Syst Rev. 2022 Nov 11;11(11):CD007297. doi: 10.1002/14651858.CD007297.pub3.
8
Collective leadership to improve professional practice, healthcare outcomes and staff well-being.集体领导以改善专业实践、医疗保健结果和员工福祉。
Cochrane Database Syst Rev. 2022 Oct 10;10(10):CD013850. doi: 10.1002/14651858.CD013850.pub2.
9
A rapid and systematic review of the clinical effectiveness and cost-effectiveness of paclitaxel, docetaxel, gemcitabine and vinorelbine in non-small-cell lung cancer.对紫杉醇、多西他赛、吉西他滨和长春瑞滨在非小细胞肺癌中的临床疗效和成本效益进行的快速系统评价。
Health Technol Assess. 2001;5(32):1-195. doi: 10.3310/hta5320.
10
Nurses as substitutes for doctors in primary care.护士在初级保健中替代医生的角色。
Cochrane Database Syst Rev. 2018 Jul 16;7(7):CD001271. doi: 10.1002/14651858.CD001271.pub3.
引用本文的文献
1
Impact of a collaborative model on community clinician confidence in child and adolescent mental health care, wellbeing, and access to child psychiatry expertise.协作模式对社区临床医生在儿童和青少年心理健康护理、幸福感以及获得儿童精神病学专业知识方面的信心的影响。
PLoS One. 2024 Sep 23;19(9):e0310377. doi: 10.1371/journal.pone.0310377. eCollection 2024.
2
Prevention and early intervention in youth mental health: is it time for a multidisciplinary and trans-diagnostic model for care?青少年心理健康的预防与早期干预：是否是时候采用多学科和跨诊断的护理模式了？
Int J Ment Health Syst. 2020 Mar 24;14:23. doi: 10.1186/s13033-020-00356-9. eCollection 2020.
3
Interpersonal Counseling (IPC) for Depression in Primary Care.基层医疗中抑郁症的人际咨询（IPC）
Am J Psychother. 2014;68(4):359-83. doi: 10.1176/appi.psychotherapy.2014.68.4.359.
4
Uptake of depression treatment recommendations among Latino primary care patients.拉丁裔初级保健患者对抑郁症治疗建议的采纳情况。
Psychol Serv. 2014 Nov;11(4):421-32. doi: 10.1037/a0035716. Epub 2014 Feb 10.
5
Mental health programme and legislation in India: some observations and experiences.印度的心理健康项目与立法：一些观察与经验
Indian J Psychiatry. 2004 Jan;46(1):15-24.
6
On-site mental health workers delivering psychological therapy and psychosocial interventions to patients in primary care: effects on the professional practice of primary care providers.为初级保健患者提供心理治疗和社会心理干预的现场心理健康工作者：对初级保健提供者专业实践的影响
Cochrane Database Syst Rev. 2009 Jan 21;2009(1):CD000532. doi: 10.1002/14651858.CD000532.pub2.
7
Collaboration between primary care and psychiatric services: does it help family physicians?基层医疗与精神科服务之间的合作：对家庭医生有帮助吗？
Can Fam Physician. 2006 Jul;52(7):876-7.
8
Progress in the development of integrated mental health care in Scotland.苏格兰综合精神卫生保健的发展进展
Int J Integr Care. 2002;2:e21. doi: 10.5334/ijic.59. Epub 2002 Jun 1.
9
How do stakeholder groups vary in a Delphi technique about primary mental health care and what factors influence their ratings?在关于初级精神卫生保健的德尔菲技术中，利益相关者群体有哪些不同，以及哪些因素会影响他们的评分？
Qual Saf Health Care. 2004 Dec;13(6):428-34. doi: 10.1136/qhc.13.6.428.
10
Psychiatric referral rates and the influence of on-site mental health workers in general practice.精神病转诊率及全科医疗中现场心理健康工作者的影响。
Br J Gen Pract. 2002 Jan;52(474):39-41.
本文引用的文献
1
Evaluation of a primary care counselling service in Dorset.多塞特郡初级保健咨询服务评估
Br J Gen Pract. 1998 Mar;48(428):1049-53.
2
A randomized controlled trial and economic evaluation of counselling in primary care.一项关于初级保健中咨询服务的随机对照试验及经济学评估。
Br J Gen Pract. 1998 Mar;48(428):1043-8.
3
Counselling in primary care: a randomised controlled trial.初级保健中的咨询：一项随机对照试验。
Patient Educ Couns. 1997 Nov;32(3):219-30. doi: 10.1016/s0738-3991(97)00035-9.
4
Achieving guidelines for the treatment of depression in primary care: is physician education enough?在初级保健中实现抑郁症治疗指南：医生教育是否足够？
Med Care. 1997 Aug;35(8):831-42. doi: 10.1097/00005650-199708000-00008.
5
A randomised controlled trial and cost analysis of problem-solving treatment for emotional disorders given by community nurses in primary care.一项关于初级保健中社区护士提供的情绪障碍问题解决疗法的随机对照试验及成本分析。
Br J Psychiatry. 1997 Feb;170:113-9. doi: 10.1192/bjp.170.2.113.
6
Evaluating models of working at the interface between mental health services and primary care.评估心理健康服务与初级保健衔接处的工作模式。
Br J Psychiatry. 1997 Jan;170:6-11. doi: 10.1192/bjp.170.1.6.
7
Investigation of whether on-site general practice counsellors have an impact on psychotropic drug prescribing rates and costs.调查现场全科执业顾问是否会对精神药物处方率及费用产生影响。
Br J Gen Pract. 1996 Feb;46(403):63-7.
8
The community psychiatric nurse in primary care: an economic analysis.基层医疗中的社区精神科护士：一项经济学分析。
J Adv Nurs. 1995 Oct;22(4):769-78. doi: 10.1046/j.1365-2648.1995.22040769.x.
9
Counsellors in English and Welsh general practices: their nature and distribution.英格兰和威尔士全科医疗中的咨询师：其性质与分布
BMJ. 1993 Jan 2;306(6869):29-33. doi: 10.1136/bmj.306.6869.29.
10
A. I. F. Scott & C. P. L. Freeman's "Edinburgh Primary Care Depression Study.A.I.F. 斯科特与C.P.L. 弗里曼的《爱丁堡初级保健抑郁症研究》
Br J Psychiatry. 1994 Mar;164(3):410-5. doi: 10.1192/bjp.164.3.410.
Zotero 插件