Department of Psychiatry, University of Dublin Trinity College, Dublin, Ireland.
Int J Psychiatry Clin Pract. 2012 Oct;16(4):293-9. doi: 10.3109/13651501.2012.667115. Epub 2012 Apr 17.
Objective. The study aims to explore the views of General Practitioners in Ireland on shared care between specialised psychiatric services and primary care. Method. A self-administered questionnaire was designed and posted to 400 randomly selected General Practitioners working in Ireland. Results. Of the respondents, 189 (94%) reported that they would support a general policy on shared care between primary care and specialised psychiatric services for patients who are stable on their treatment. However, 124 (61.4%) reported that they foresaw difficulties for patients in implementing such a policy including: a concern that primary care is not adequately resourced with allied health professionals to support provision of psychiatric care (113, 53.2%); a concern this would result in increased financial burden on some patients (89, 48.8%); a lack of adequate cooperation between primary care and specialised mental health services (84, 41.8%); a concern that some patients may lack confidence in GP care (55, 27.4%); and that primary care providers are not adequately trained to provide psychiatric care (29, 14.4% ). Conclusion. The majority of GPs in Ireland would support a policy of shared care of psychiatric patients; however they raise significant concerns regarding practical implications of such a policy in Ireland.
目的。本研究旨在探讨爱尔兰全科医生对专科精神卫生服务与基层医疗之间共享护理的看法。方法。设计并向爱尔兰随机抽取的 400 名全科医生发放了自填式问卷。结果。在应答者中，189 名（94%）表示他们会支持为治疗稳定的患者制定基层医疗与专科精神卫生服务之间共享护理的总体政策。然而，124 名（61.4%）表示他们预见了患者在实施此类政策方面可能会遇到困难，包括：担心基层医疗没有足够的辅助卫生专业人员来支持精神卫生护理（113 名，53.2%）；担心这会增加一些患者的经济负担（89 名，48.8%）；基层医疗与专科精神卫生服务之间缺乏充分合作（84 名，41.8%）；担心一些患者可能对全科医生的护理缺乏信心（55 名，27.4%）；以及基层医疗提供者没有接受过充分的精神卫生护理培训（29 名，14.4%）。结论。爱尔兰大多数全科医生会支持精神科患者共享护理的政策；然而，他们对该政策在爱尔兰的实际影响提出了重大关注。
