Hassink-Franke Lieke J A, Janssen Mijnke M M, Oehlen Guy, van Deurzen Patricia A M, Buitelaar Jan K, Wensing Michel, Lucassen Peter L B J
a Department of Primary and Community Care , Radboud University Medical Centre , Nijmegen , the Netherlands ;
b Karakter Child and Adolescent Psychiatry University Centre , Nijmegen , The Netherlands ;
Eur J Gen Pract. 2016 Sep;22(3):196-202. doi: 10.1080/13814788.2016.1177506. Epub 2016 Jun 3.
Most general practitioners (GPs) do not feel comfortable with diagnosing and treating children with attention deficit hyperactivity disorder (ADHD). This is problematic since ADHD is a prevalent disorder and an active role of GPs is desired. In the Netherlands a collaborative ADHD programme was established, comprising of shortened diagnostic assessment in specialized mental healthcare followed by psycho-education in mental healthcare and pharmacological treatment by pre-trained GPs.
To explore the experiences of GPs regarding the diagnosis and treatment of children with uncomplicated ADHD within this programme.
Semi-structured interviews with 15 GPs were conducted. The GPs participated in an evaluation of the collaborative ADHD programme. Data was analysed using the principles of constant comparative analysis.
Most participating GPs expressed reluctance to diagnose ADHD themselves. The reluctance was due to a lack of time, knowledge and experience. The GPs welcomed the collaborative programme because it met their need for both quick and adequate diagnosis by a specialist. Furthermore, an online ADHD course, offered by the programme, gave them the confidence to start and monitor ADHD medication. Finally, they appreciated the possibility of consulting a specialist when necessary.
GPs preferred that ADHD was diagnosed by a specialist. In the context of the ADHD collaborative programme, they felt competent and comfortable to start and monitor medication in children with uncomplicated ADHD. Key Messages Within a collaborative ADHD programme for children, participating GPs were positive about a quick and specialist diagnostic process within secondary care. After an online course, GPs felt confident to start and monitor ADHD medication in children with uncomplicated ADHD. GPs were content about the collaboration between primary and secondary care.
大多数全科医生（GP）对诊断和治疗患有注意力缺陷多动障碍（ADHD）的儿童感到不自在。这是个问题，因为ADHD是一种常见疾病，需要全科医生发挥积极作用。在荷兰，建立了一个ADHD协作项目，包括在专门的精神卫生保健机构进行缩短的诊断评估，随后在精神卫生保健机构进行心理教育，并由经过预培训的全科医生进行药物治疗。
探讨全科医生在该项目中对单纯性ADHD儿童的诊断和治疗经验。
对15名全科医生进行了半结构化访谈。这些全科医生参与了ADHD协作项目的评估。数据采用持续比较分析原则进行分析。
大多数参与的全科医生表示不愿自行诊断ADHD。这种不情愿是由于缺乏时间、知识和经验。全科医生欢迎这个协作项目，因为它满足了他们对由专科医生进行快速且充分诊断的需求。此外，该项目提供的在线ADHD课程让他们有信心开始并监测ADHD药物治疗。最后，他们赞赏在必要时能咨询专科医生的可能性。
全科医生更倾向于由专科医生诊断ADHD。在ADHD协作项目的背景下，他们对开始并监测单纯性ADHD儿童的药物治疗感到有能力且自在。关键信息在针对儿童的ADHD协作项目中，参与的全科医生对二级保健中快速且由专科医生进行的诊断过程持积极态度。经过在线课程后，全科医生对开始并监测单纯性ADHD儿童的ADHD药物治疗感到有信心。全科医生对初级保健和二级保健之间的协作感到满意。
