全科医生培训对其精神卫生服务的影响：香港经验。
Impact of training for general practitioners on their mental health services: The Hong Kong experience.
作者信息
Lam Tai Pong, Sun Kai Sing, Piterman Leon, Lam Kwok Fai, Poon Man Kay, See Christopher, Wu Dan
机构信息
MBBS, MFM, PhD, MD, FRACGP, FHKAM, FRCP, Professor, Department of Family Medicine and Primary Care, University of Hong Kong, Pokfulam, HK.
BSc, MA, PhD, Postdoctoral Fellow, Department of Family Medicine and Primary Care, University of Hong Kong, Pokfulam, HK.
出版信息
Aust J Gen Pract. 2018 Aug;47(8):550-555. doi: 10.31128/AJGP-01-18-4478.
METHOD
A questionnaire survey was conducted among GPs. Of the 516 respondents, 76 (14.7%) had attended a one‑year postgraduate mental health training course.
RESULTS
The GPs with mental health training saw significantly more patients with mental health problems per week (median class 11-15 versus 6-10) and treated a higher percentage of patients with mental health problems (median class 41-60% versus 21-40%). The differences remained significant, with odds ratios of 2.6 for both indicators after controlling for gender, healthcare setting and years of practice.
DISCUSSION
Policies should promote training of GPs as part of the increasing workforce for mental healthcare. Estimated from the results, GPs with mental health training have nearly triple the number of consultations related to mental health, compared with other GPs (340 versus 120 per year).
方法
对全科医生进行了问卷调查。在516名受访者中，76人（14.7%）参加了为期一年的研究生心理健康培训课程。
结果
接受过心理健康培训的全科医生每周诊治的心理健康问题患者明显更多（中位数为11 - 15例，而未接受培训的为6 - 10例），且治疗的心理健康问题患者比例更高（中位数为41 - 60%，而未接受培训的为21 - 40%）。在控制了性别、医疗环境和执业年限后，这两个指标的差异仍然显著，优势比均为2.6。
讨论
政策应推动全科医生培训，使其成为不断增加的心理健康护理劳动力的一部分。根据结果估计，接受过心理健康培训的全科医生与心理健康相关的会诊次数几乎是其他全科医生的三倍（每年340次对120次）。
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