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在初级保健中,医生如何处理社会心理问题?

What does a doctor do with psychosocial problems in primary care?

作者信息

Verhaak P F, Wennink H J

机构信息

Netherlands Institute for Primary Health Care (NIVEL), Utrecht.

出版信息

Int J Psychiatry Med. 1990;20(2):151-62. doi: 10.2190/WHGG-2KQG-65GN-57YJ.

Abstract

Though a lot has been published on the prevalence of psychosocial disorders in primary care, less is known about the actual treatment, given by primary care providers. This article describes treatment given to complaints which are considered by the physician as being psychosocial by nature. Treatment has been assessed by means of observation. A database of approximately 1500 videotaped consultations, sampled from thirty general practitioners has been used for this purpose. The possibilities and limitations of (generalist) psychosocial treatment in primary care are discussed.

摘要

尽管关于初级保健中社会心理障碍的患病率已发表了大量文章,但对于初级保健提供者所给予的实际治疗却知之甚少。本文描述了针对医生认为本质上属于社会心理方面的主诉所给予的治疗。治疗通过观察进行评估。为此使用了一个从30名全科医生那里采集的约1500次录像会诊的数据库。讨论了初级保健中(全科医生)社会心理治疗的可能性和局限性。

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