Murray J, Corney R
General Practice Research Unit, Institute of Psychiatry, London, England.
Soc Psychiatry Psychiatr Epidemiol. 1990 May;25(3):159-64. doi: 10.1007/BF00782746.
An intensive study of female low attenders with significant psychosocial difficulties is described. Among the reasons for low reliance upon the help of their general practitioners are unsatisfactory past experiences of seeking help; a belief that health conditions with a pronounced psychosocial component are not amenable to medical intervention; and the availability of professional medical or social advisors in the immediate social network. The implications for the provision of primary care are discussed.
本文描述了一项针对存在严重心理社会问题的女性低就诊率患者的深入研究。她们较少依赖全科医生帮助的原因包括:过去寻求帮助的经历不尽人意;认为具有明显心理社会因素的健康状况无法通过医疗干预解决;以及在其直接社交网络中有专业的医疗或社会顾问。文中还讨论了这些情况对初级医疗服务提供的影响。