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精神病早期干预服务:基层医疗视角。

Early intervention service for psychosis: views from primary care.

机构信息

DETECT, Avila House, Block 5, Blackrock Business Park, Blackrock, Co Dublin, Ireland.

出版信息

Early Interv Psychiatry. 2008 Nov;2(4):285-90. doi: 10.1111/j.1751-7893.2008.00090.x.

DOI:10.1111/j.1751-7893.2008.00090.x
PMID:21352162
Abstract

AIM

Although General Practitioners (GPs) have a pivotal role in early detection and treatment of psychosis, there is sparse information on their views of early intervention (EI) services and how information related to EI should be delivered.

METHOD

Since inception, DETECT (Dublin East Treatment and Early Care Team), Ireland's pilot EI project, mailed information packs and provided information through the local GP continuing medical education (CME) network. After 1 year, we surveyed GPs within DETECT's catchment area for their views on the service being provided.

RESULTS

One hundred and twenty-six (36%) responded and 80% found the EI service very/extremely useful. GPs reported that the combination of CME session and information packs were more useful than information packs alone. Those who attended CME meetings were significantly more likely to refer suspected cases (P < 0.01) and more likely to find the service useful (P < 0.001).

CONCLUSION

The EI service for psychosis is well-received among GPs. Information about EI delivered through CME appears to have a greater impact on referral rates and satisfaction levels than mailed information.

摘要

目的

尽管全科医生(GP)在精神病的早期发现和治疗中起着关键作用,但关于他们对早期干预(EI)服务的看法以及应该如何提供与 EI 相关的信息,信息仍然很少。

方法

自成立以来,爱尔兰的试点 EI 项目 DETECT(都柏林东部治疗和早期护理团队)通过当地全科医生继续医学教育(CME)网络邮寄信息包并提供信息。一年后,我们调查了 DETECT 服务范围内的全科医生对所提供服务的看法。

结果

有 126 名(36%)人做出了回应,其中 80%的人认为 EI 服务非常/极其有用。全科医生报告说,CME 会议和信息包的组合比单独使用信息包更有用。参加 CME 会议的人更有可能转介疑似病例(P<0.01),并且更有可能认为该服务有用(P<0.001)。

结论

精神病的 EI 服务在全科医生中广受欢迎。通过 CME 提供的 EI 信息似乎比邮寄信息对转介率和满意度的影响更大。

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