Eagles J M, Fraser C, Wilson G E, Milton A M, Kiehlmann P, Naji S A
Royal Cornhill Hospital, Cornhill Road, Aberdeen AB25 2ZH.
Health Bull (Edinb). 1999 May;57(3):175-9.
Practice-based counselors have become very numerous in primary care and we sought to elicit the views of general practitioners in north-east Scotland about the present situation and possible developments in practice-based counselling services.
A questionnaire was mailed to the 352 general practitioners working in the area covered by Grampian Health Board.
There was a 74% response rate: 46% of respondents had access to a practice-based counsellor and of those who did not, two-thirds wanted to acquire one. Larger practices and fundholding practices were more likely to have practice-based counsellors. There was a lack of knowledge about the medico-legal situation when referrals to counsellors were made. Seventy-nine per cent of respondents thought that the need/demand for counselling would increase during the next decade, and a majority considered provision of counselling through mental health teams, with local co-ordination of accreditation, training and supervision, to be desirable.
Since the efficacy of counselling for mental health problems in primary care has not been established, and provision of counselling in primary care settings continues to increase, there is a need to mount coherent and appropriate research studies. There also appears to be a need for greater integration between primary care and mental health services to generate rational provision of practice-based counselling.
在基层医疗中，基于实践的咨询师数量众多，我们试图了解苏格兰东北部全科医生对基于实践的咨询服务现状及可能发展的看法。
向格兰扁健康委员会覆盖地区工作的352名全科医生邮寄了调查问卷。
回复率为74%：46%的受访者能够获得基于实践的咨询师服务，而在那些没有此项服务的受访者中，三分之二希望获得。规模较大的诊所和实行基金持有制的诊所更有可能配备基于实践的咨询师。在转诊给咨询师时，对医疗法律情况缺乏了解。79%的受访者认为在未来十年咨询的需求/需求量会增加，大多数人认为通过心理健康团队提供咨询，由当地协调认证、培训和监督是可取的。
由于基层医疗中针对心理健康问题的咨询效果尚未得到证实，且基层医疗环境中咨询服务的提供仍在增加，因此有必要开展连贯且恰当的研究。基层医疗与心理健康服务之间似乎也需要更大程度的整合，以实现基于实践的咨询服务的合理提供。
