Research Unit for General Practice, NORCE Norwegian Research Centre, Bergen, Norway.
Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
BMC Prim Care. 2024 May 24;25(1):184. doi: 10.1186/s12875-024-02434-0.
The General Practitioner (GP) is often the first professional contact for patients with depression. Depression care constitutes a substantial part of GPs' workload.
To assess how GPs experience their patients' expectations and their own provision of depression care; further, how their depression care was associated with doctor- and practice-characteristics.
A cross-sectional questionnaire study about depression care in general practice among the GPs in the Norwegian Physician Survey of 2021.
Of the 221 responding GPs, 50% were female and 70% agreed to have constant time pressure due to workload. The GPs believed that patients with depression were interested in their professional assessment (87.2%) and saw them as providers of talking therapy (76,9%). Still, 77,8% of the GPs thought the patients expected a referral. Talking therapy was commonly provided (79.6%) along with consultations of more than 30 min (80.4%). The youngest age group and GPs with shorter patient lists spent more time. Most GPs (92.3%) considered their help to be of great benefit for depressed patients. However, one-fourth of the GPs did not feel competent in providing talking therapy, less frequently reported by the GPs aged 40-54 years.
Talking therapy is commonly provided by GPs. However, there is a need to investigate what GP talking therapy implies, and to strengthen GP skills in this regard. Overall, the GPs experience their depression care to be useful for their patients, and do not de-prioritize this although they experience workload pressure.
全科医生（GP）通常是抑郁症患者的第一接触者。抑郁症的护理构成了全科医生工作量的很大一部分。
评估全科医生如何体验患者的期望及其自身提供的抑郁症护理；进一步，他们的抑郁症护理与医生和实践特征的关联。
2021 年挪威医生调查对一般实践中的抑郁症护理进行了横断面问卷调查研究。
在 221 名回应的全科医生中，有 50%为女性，有 70%的医生因工作量而感到持续的时间压力。全科医生认为，抑郁症患者对他们的专业评估感兴趣（87.2%），并将他们视为提供谈话疗法的提供者（76.9%）。尽管如此，仍有 77.8%的全科医生认为患者希望转介。谈话疗法（79.6%）和超过 30 分钟的咨询（80.4%）是常见的治疗方法。年龄最小的组和患者名单较短的医生花费的时间更多。大多数（92.3%）全科医生认为他们的帮助对抑郁症患者非常有益。然而，四分之一的全科医生认为自己在提供谈话疗法方面没有能力，年龄在 40-54 岁的医生报告的这种情况较少。
谈话疗法通常由全科医生提供。然而，需要研究全科医生的谈话疗法意味着什么，并在这方面加强全科医生的技能。总体而言，全科医生认为他们的抑郁症护理对患者有用，并且尽管他们面临工作量压力，但不会将其放在次要位置。
