Gavin B, Cullen W, O'Donoghue B, Ascencio-Lane J C, Bury G, O'Callaghan E
St John of God Hospital, Dublin.
Ir J Med Sci. 2005 Jul-Sep;174(3):38-42. doi: 10.1007/BF03169146.
Chronic schizophrenia is challenging to manage in primary care.
We sought to establish the views of General Practitioners about managing patients with chronic schizophrenia in primary care.
A cross-sectional, postal survey questionnaire of a randomly selected sample of 20% of GPs was carried out.
Most GPs (97.2%) have at least one person with schizophrenia attending their practice. A substantial number of GPs (22.2%) treat cases of schizophrenia without specialist input following an initial referral to psychiatric services. Almost all (88.7%) advised patients who had experienced multiple relapses to remain on medication indefinitely. One third of GPs reported that they always experience difficulties managing patients with schizophrenia in their practice. Non-adherence with prescribed medication and loss to follow-up were the commonest impediments to treatment encountered.
GPs require appropriate back up from specialist services to enable their management of chronic schizophrenia.
在基层医疗中，慢性精神分裂症的管理颇具挑战。
我们试图了解全科医生对在基层医疗中管理慢性精神分裂症患者的看法。
对随机抽取的20%的全科医生样本进行了横断面邮寄调查问卷。
大多数全科医生（97.2%）的诊所里至少有一名精神分裂症患者就诊。相当数量的全科医生（22.2%）在最初转诊至精神科服务后，在没有专科医生参与的情况下治疗精神分裂症病例。几乎所有（88.7%）的医生建议经历过多次复发的患者无限期服药。三分之一的全科医生报告称，他们在诊所管理精神分裂症患者时总是遇到困难。不遵医嘱服药和失访是治疗中最常见的障碍。
全科医生需要专科服务提供适当的支持，以便他们管理慢性精神分裂症。
