Negri Attà, Zamin Claudia, Parisi Giulia, Paladino Anna, Andreoli Giovanbattista
Department of Human and Social Sciences, University of Bergamo, 24129 Bergamo, Italy.
Italian Society of Relationship Psychoanalysis, 20135 Milano, Italy.
Healthcare (Basel). 2021 May 19;9(5):613. doi: 10.3390/healthcare9050613.
The biopsychosocial paradigm is a model of care that has been proposed in order to improve the effectiveness of health care by promoting collaboration between different professions and disciplines. However, its application still faces several issues. A quantitative-qualitative survey was conducted on a sample of general practitioners (GPs) from Milan, Italy, to investigate their attitudes and beliefs regarding the role of the psychologist, the approach adopted to manage psychological diseases, and their experiences of collaboration with psychologists. The results show a partial view of the psychologist's profession that limits the potential of integration between medicine and psychology in primary care. GPs recognized that many patients (66%) would often benefit from psychological intervention, but only in a few cases (9%) were these patients regularly referred to a psychologist. Furthermore, the referral represents an almost exclusive form of collaboration present in the opinions of GPs. Only 8% of GPs would consider the joint and integrated work of the psychologist and doctor useful within the primary health care setting. This vision of the role of psychologists among GPs represents a constraint in implementing a comprehensive primary health care approach, as advocated by the World Health Organization.
生物心理社会范式是一种为提高医疗保健效果而提出的护理模式，旨在促进不同专业和学科之间的合作。然而，其应用仍面临若干问题。对来自意大利米兰的全科医生样本进行了一项定量-定性调查，以研究他们对心理学家角色的态度和信念、管理心理疾病所采用的方法以及他们与心理学家合作的经历。结果显示，对心理学家职业的看法存在片面性，这限制了初级保健中医学与心理学整合的潜力。全科医生认识到，许多患者（66%）通常会从心理干预中受益，但这些患者中只有少数（9%）会被定期转介给心理学家。此外，在全科医生的观点中，转介几乎是唯一的合作形式。只有8%的全科医生会认为心理学家和医生在初级卫生保健环境中的联合和综合工作是有用的。全科医生对心理学家角色的这种看法是实施世界卫生组织所倡导的全面初级卫生保健方法的一个制约因素。
