Yildiz Mustafa, Emin Onder Mehmet, Tural Umit, Ibrahim Balta Halil, Koçalim Nermin
Kocaeli U. Tip Fak., Psikiyatri A D., Kocaeli.
Turk Psikiyatri Derg. 2003 Summer;14(2):106-15.
To assess general practitioners' attitudes and behavior towards psychotic disorders, antipsychotic drug prescriptions, and patients with psychosis in primary health care settings.
262 general practitioners (GPs) practicing in primary care settings in Kocaeli province were included in the study. The 20-item questionnaire, which was prepared by the researchers, was sent to all GPs via the Kocaeli branch of the Health Ministry. 195 (74.4%) questionnaires were returned. The GPs' responses and the relations between different variables were examined.
The participation rate among GPs in any education about psychosis and antipsychotic treatment after graduation was 27.2%. The rate seeking structured and advanced education about psychosis was 41.0%. The mean daily number of patients with psychosis examined by GPs in primary care settings during the previous six months was 1.4. They first prescribed any antipsychotic drug by themselves at a rate of 12.8% in the previous six-month. The most frequent reason for antipsychotic prescription was re-prescription (80.0%). The most frequent problem in the pharmacological treatment of psychotic disorders was the drop-out rate of patients (75.9%). The predictors of starting patients with psychosis on medication were the belief that the patients were treatable in primary care and the suspicion of GPs about psychosis.
GPs practicing in primary care settings rarely encounter patients with psychosis. GPs mostly avoid undertaking the responsibility of treating them. However, some are eager to participate in structured education about psychosis in order to have more confidence when diagnosing and treating it.
评估基层医疗环境中全科医生对精神障碍、抗精神病药物处方以及精神病患者的态度和行为。
纳入在科贾埃利省基层医疗环境中执业的262名全科医生。研究人员编制的20项问卷通过卫生部科贾埃利分会发送给所有全科医生。共收回195份（74.4%）问卷。对全科医生的回答以及不同变量之间的关系进行了检查。
毕业后参加过任何有关精神病和抗精神病治疗教育的全科医生比例为27.2%。寻求有关精神病的结构化和进阶教育的比例为41.0%。在过去六个月中，基层医疗环境中全科医生每天检查的精神病患者平均人数为1.4人。在前六个月中，他们自行首次开具任何抗精神病药物的比例为12.8%。抗精神病药物处方最常见的原因是重新开药（80.0%）。精神病障碍药物治疗中最常见的问题是患者的停药率（75.9%）。让精神病患者开始用药的预测因素是相信患者在基层医疗中可治疗以及全科医生对精神病的怀疑。
在基层医疗环境中执业的全科医生很少遇到精神病患者。全科医生大多避免承担治疗他们的责任。然而，一些人渴望参加有关精神病的结构化教育，以便在诊断和治疗时更有信心。
