Cipta Darien Alfa, Kusumadewi Irmia, Siste Kristiana, Werdhani Retno Asti, Diatri Hervita
MD, MSc, Department of Psychiatry, Faculty of Medicine, Universitas Indonesia - dr. Cipto Mangunkusumo General Hospital, Jalan Pangeran Diponegoro, Jakarta, Indonesia. Email:
MD, Department of Psychiatry, Faculty of Medicine, Universitas Indonesia - dr. Cipto Mangunkusumo General Hospital, Jalan Pangeran Diponegoro, Jakarta, Indonesia.
Malays Fam Physician. 2023 Mar 13;18:18. doi: 10.51866/oa.196. eCollection 2023.
Depression is a common mental disorder in primary care settings both globally and locally. Even with considerable impacts on patients' quality of life and public healthcare costs, most people with depression do not receive evidence-based treatment. Integrating mental healthcare services into primary care is essential to address the treatment gap for depression. As counsellors and care coordinators, family physicians have a vital role in providing primary mental healthcare services. This study aims to assess Indonesian family physicians' knowledge of depression and identify the associated factors.
This cross-sectional observational study included a total of 83 family physicians from the Association of Indonesian Family Physicians. Data were collected using online questionnaires, including demographic and knowledge assessment instruments and the Care Coordinator Scale (CCS). Descriptive and multiple linear regression analyses were performed.
The knowledge of depression, particularly in terms of prevention, diagnosis, pharmacological treatment, and post-referral treatment, was insufficient among the family physicians. The medication education (P=0.006) and follow-up care plan (P=0.04) domains of the CCS were associated with the family physicians' knowledge of the management of depression in the linear regression analysis (R=0.077).
Interventions to improve Indonesian family physicians' knowledge of depression, focusing on medication/pharmacological treatment and considering them as care coordinators, are essential.
抑郁症是全球和本地基层医疗环境中常见的精神障碍。尽管对患者的生活质量和公共医疗成本有相当大的影响，但大多数抑郁症患者并未接受循证治疗。将精神卫生保健服务纳入基层医疗对于解决抑郁症的治疗缺口至关重要。作为咨询师和护理协调员，家庭医生在提供基层精神卫生保健服务方面发挥着至关重要的作用。本研究旨在评估印度尼西亚家庭医生对抑郁症的了解情况，并确定相关因素。
这项横断面观察性研究共纳入了83名来自印度尼西亚家庭医生协会的家庭医生。使用在线问卷收集数据，包括人口统计学和知识评估工具以及护理协调员量表（CCS）。进行了描述性和多元线性回归分析。
家庭医生对抑郁症的了解不足，尤其是在预防、诊断、药物治疗和转诊后治疗方面。在多元线性回归分析中，CCS的药物教育（P = 0.006）和后续护理计划（P = 0.04）领域与家庭医生对抑郁症管理的知识相关（R = 0.077）。
采取干预措施提高印度尼西亚家庭医生对抑郁症的了解，重点是药物/药物治疗，并将他们视为护理协调员，这至关重要。
