Wong S Y S, Lee K, Chan K, Lee A
Department of Community and Family Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.
Int J Clin Pract. 2006 Apr;60(4):437-41. doi: 10.1111/j.1368-5031.2006.00881.x.
Barriers faced by general practitioners in Hong Kong to manage patients with depression and anxiety disorders and their association with postgraduate qualification in family medicine were studied. Postal questionnaires were sent to 179 family medicine tutors affiliated with a university in Hong Kong with a response rate of 64.2%. 'Too time consuming' was the largest barrier for these physicians in treating patients with depression and anxiety. General practitioners without higher qualifications in family medicine were significantly more likely to report 'lack of confidence', 'lack of experience' and 'lack of supporting service' as being the barriers in treating patients with depression and anxiety. Our results showed that time constraint is an important barrier for general practitioners in managing patients with depression and anxiety in Hong Kong. Having a higher qualification in family medicine may reduce the barriers of having lack of confidence and experience in these physicians.
本研究探讨了香港全科医生在管理抑郁症和焦虑症患者时所面临的障碍，以及这些障碍与家庭医学研究生学历之间的关联。向香港一所大学附属的179名家庭医学导师邮寄了问卷调查，回复率为64.2%。“耗时过长”是这些医生治疗抑郁症和焦虑症患者时最大的障碍。没有家庭医学更高资质的全科医生更有可能报告“缺乏信心”“缺乏经验”和“缺乏支持服务”是治疗抑郁症和焦虑症患者的障碍。我们的结果表明，时间限制是香港全科医生管理抑郁症和焦虑症患者的一个重要障碍。拥有家庭医学更高资质可能会减少这些医生缺乏信心和经验的障碍。
