Sullivan S, Arroll B, Coster G, Abbott M, Adams P
Department of General Practice and Primary Health Care, Auckland School of Medicine.
N Z Med J. 2000 Jun 9;113(1111):204-7.
To survey GPs' attitudes towards problem gamblers and knowledge to successfully intervene.
100 GPs, randomly selected for gender and geographical distribution, were anonymously surveyed by questionnaire through the Royal New Zealand College of General Practitioners.
80 GPs responded (80% of those surveyed). There was strong support (85%) for problem gambling being within a GP's mandate, for involvement in treatment of problem gambling (72%) and for their having a role in supporting a family where a member has a gambling problem (80%). There was less confidence in: raising the issue of gambling with patients (53%), in knowledge of resources (38%) and in having the necessary training to intervene (19%).
GPs see problem gambling as a legitimate role for their intervention, however, they have concerns around their competency and knowledge of resources. The provision of undergraduate and postgraduate training may assist to remove barriers to an accepted role in primary health.
调查全科医生对问题赌徒的态度以及成功干预的知识。
通过新西兰皇家全科医生学院,以问卷形式对100名按性别和地理分布随机选取的全科医生进行匿名调查。
80名全科医生做出回应(占被调查者的80%)。对于问题赌博属于全科医生的职责范围、参与问题赌博的治疗以及在支持有家庭成员存在赌博问题的家庭方面发挥作用,有强烈支持(85%)。在以下方面信心较低:向患者提出赌博问题(53%)、对资源的了解(38%)以及具备干预所需的培训(19%)。
全科医生认为问题赌博是他们进行干预的合理职责,但他们对自身能力和资源知识存在担忧。提供本科和研究生培训可能有助于消除在初级卫生保健中被认可的角色障碍。