“一位非常好的全科医生”：严重和持续的精神疾病患者对全科医疗护理的参与和满意度。

'A really good GP': Engagement and satisfaction with general practice care of people with severe and persistent mental illness.

机构信息

MBChB, FRACGP, BA (Hons), Associate Professor, Primary Care Clinical Unit, School of Clinical Medicine, The University of Queensland, Qld.

MBBS, FRACGP, BA, BEd, General Practitioner, Stonewall Medical Centre, The University of Queensland, Qld.

出版信息

Aust J Gen Pract. 2020 Jan-Feb;49(1-2):61-65. doi: 10.31128/AJGP-02-19-4854.

DOI:10.31128/AJGP-02-19-4854

PMID:32008274

Abstract

BACKGROUND AND OBJECTIVES

People with severe and persistent mental illness have increased psychosocial and physical morbidity. This study sought to understand patient engagement and satisfaction with general practice.

METHOD

A survey study of people attending community mental health clinics included Likert scale items about general practice engagement, satisfaction, access enablers and attendance challenges.

RESULTS

Of 82 respondents, 85% had a regular general practitioner (GP), and 99% had visited a GP at least once in the past 12 months (32% had visited a GP >10 times). Eighty-eight per cent of respondents were satisfied with their current GP's care. Significantly more respondents were satisfied with the GP's focus on their physical than their mental health concerns (95% versus 76% respectively, P <0.05). Bulk billing, timely appointments and proximity were enablers of attendance for most respondents. The majority of participants disagreed that making, keeping or waiting for GP appointments was difficult.

DISCUSSION

Closer collaboration with treating psychiatrists and case managers may increase GP engagement with patients' mental healthcare.

摘要

背景与目的

患有严重和持续性精神疾病的人群其社会心理和身体健康的发病率更高。本研究旨在了解患者对全科医生的参与度和满意度。

方法

对社区心理健康诊所的患者进行了一项调查研究，其中包括关于全科医生参与度、满意度、就诊促进因素和就诊挑战的李克特量表项目。

结果

在 82 名受访者中，85%的人有固定的全科医生（GP），99%的人在过去 12 个月内至少看过一次全科医生（32%的人看过全科医生>10 次）。88%的受访者对目前 GP 的护理感到满意。与关注精神健康问题相比，受访者对 GP 关注其身体健康问题的满意度明显更高（分别为 95%和 76%，P<0.05）。对大多数受访者来说，批量计费、及时预约和距离近是就诊的促进因素。大多数参与者认为，预约、维持或等待 GP 预约并不困难。