Department of Psychology, Institute of Psychiatry, London, UK.
J Ment Health. 2013 Jun;22(3):227-36. doi: 10.3109/09638237.2012.734646. Epub 2013 Jan 16.
Self-referring is an important pathway to care that is being used increasingly by services, but little research has been conducted in this area.
To examine whether self-referrers would (i) be representative of the local community; (ii) be significantly psychologically distressed; (iii) be demographically similar to GP consulters and (iv) to investigate non-consulters' attitudinal reasons for not consulting their GPs.
The study is a cross-sectional analysis of 442 self-referrers who attended one of six one-day Cognitive Behavioural Therapy workshop programmes in the community. Socio-demographic details and information about past contact with GP services and attitudes towards non-consulting were collected. Parametric and non-parametric tests and logistic regressions were used to analyse the data.
Self-referrers were representative of the local population although a disproportionate number of participants were unemployed and unoccupied. Over a quarter (26.5%) had not consulted their GPs. GP consulters had significantly higher clinical outcome in routine evaluation scores, though the scores of both groups were in the clinical range. Non-consulters tended to be from black, minority and ethnic groups and male. Attitudinal reasons for not consulting their GP were independently categorised as Perception of Services, Perception of Illness and Self-coping.
Self-referral offers access to services to people who have been previously reluctant to consult.
自我转诊是一种被服务机构越来越多地使用的重要医疗途径，但在这一领域的研究很少。
检验自我转诊者是否（i）具有代表性；（ii）是否存在明显的心理困扰；（iii）是否在人口统计学上与全科医生的就诊者相似；以及（iv）调查未就诊者不向全科医生咨询的态度原因。
这是一项对 442 名自我转诊者的横断面分析研究，他们参加了社区中为期一天的认知行为疗法工作坊项目中的六个。收集了社会人口统计学细节以及过去与全科医生服务的接触信息和对非咨询的态度。使用参数和非参数检验以及逻辑回归分析数据。
自我转诊者具有代表性，但参加者中失业和无业的比例过高。超过四分之一（26.5%）的人没有咨询过他们的全科医生。全科医生的就诊者在常规评估评分中的临床结果有显著提高，尽管两组的评分都处于临床范围内。未就诊者往往来自黑人和少数族裔以及男性。不向全科医生咨询的态度原因被独立归类为服务认知、疾病认知和自我应对。
自我转诊为以前不愿意咨询的人提供了获得服务的机会。
