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[全科医生的精神病学培训与精神药物处方。1. 教育、态度及处方范围]

[General practitioners' training in psychiatry and prescription of psychotropic drugs. 1. Education, attitudes and extent of prescribing].

作者信息

Holm M

机构信息

Institut for Almen Medicin, Aarhus Universitet.

出版信息

Ugeskr Laeger. 1990 Aug 6;152(32):2285-7.

PMID:2399613
Abstract

The object of this investigation was to describe prescription of psychotropic drugs by general practitioners in relation to their training and attitudes to employment of psychotropic drugs in the treatment of psychosocial conflicts. The investigation was carried out as a multicentre questionnaire investigation in the County of Aarhus in which 192 (89%) out of 215 general practitioners who were invited participated. In brief and prolonged psychosocial conflicts, 58 (31%) and 149 (81%), respectively, considered that prescription of psychotropic drugs constituted poor treatment. More than half of the general practitioners found that the amounts of psychotropic drugs prescribed by themselves and other general practitioners were excessive and that they were, themselves, responsible for this. The majority of the general practitioners found that their attitudes were of great significance for their prescriptions of psychotropic drugs and 71 out of 191 practitioners (37%) found that the pressure of work usually or frequently influenced this. A total of 107 (56%) had had appointments in psychiatric departments (average duration six months) prior to establishment as general practitioners. A total of 117 (61%) had received some form of postgraduate psychiatric training after establishment as general practitioners while 29 (20%) had not received any form of psychiatric training or postgraduate psychiatric education. No connection could be demonstrated between psychiatric training and the extent of prescription of psychotropic drugs.

摘要

本调查的目的是描述全科医生开具精神药物处方的情况,及其与培训以及对使用精神药物治疗社会心理冲突的态度之间的关系。该调查作为一项多中心问卷调查在奥胡斯郡开展,受邀的215名全科医生中有192名(89%)参与。在短期和长期社会心理冲突中,分别有58名(31%)和149名(81%)全科医生认为开具精神药物处方属于不当治疗。超过半数的全科医生发现自己及其他全科医生开具的精神药物数量过多,且认为自己对此负有责任。大多数全科医生认为他们的态度对其精神药物处方有很大影响,191名从业者中有71名(37%)发现工作压力通常或经常对此产生影响。共有107名(56%)在成为全科医生之前曾在精神科部门任职(平均时长为六个月)。共有117名(61%)在成为全科医生之后接受过某种形式的精神科研究生培训,而29名(20%)未接受过任何形式的精神科培训或精神科研究生教育。未发现精神科培训与精神药物处方量之间存在关联。

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