The Section of General Practice and the Research Unit for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Mental Health Center Copenhagen, Copenhagen Research Center for Mental Health - CORE, Copenhagen University Hospital, Copenhagen, Denmark.
BMC Prim Care. 2024 Aug 3;25(1):281. doi: 10.1186/s12875-024-02504-3.
People with dual diagnosis die prematurely compared to the general population, and general practice might serve as a setting in the healthcare system to mend this gap in health inequity. However, little is known about which interventions that have been tested in this setting.
To scope the literature on interventions targeting patients with dual diagnosis in a general practice setting, the outcomes used, and the findings.
A scoping review of patients with dual diagnosis in general practice.
From a predeveloped search string, we used PubMed (Medline), PsychInfo, and Embase to identify scientific articles on interventions. Studies were excluded if they did not evaluate an intervention, if patients were under 18 years of age, and if not published in English. Duplicates were removed and all articles were initially screened by title and abstract and subsequent fulltext were read by two authors. Conflicts were discussed within the author group. A summative synthesis of the findings was performed to present the results.
Seven articles were included in the analysis. Most studies investigated integrated care models between behavioural treatment and primary care, and a single study investigated the delivery of Cognitive Behavioral treatment (CBT). Outcomes were changes in mental illness scores and substance or alcohol use, treatment utilization, and implementation of the intervention in question. No studies revealed significant outcomes for patients with dual diagnosis.
Few intervention studies targeting patients with dual diagnosis exist in general practice. This calls for further investigation of the possibilities of implementing interventions targeting this patient group in general practice.
与普通人群相比，双重诊断患者的预期寿命较短，而全科医疗可能是医疗保健系统中的一个设置，可以弥补这一健康不平等差距。然而，人们对在这一环境中经过测试的干预措施知之甚少。
对全科医疗环境中针对双重诊断患者的干预措施、使用的结果以及研究结果进行文献范围界定。
一项针对全科医疗中双重诊断患者的范围界定综述。
我们使用预开发的搜索字符串，从 PubMed（医学文献在线数据库）、PsychInfo 和 Embase 中检索有关干预措施的科学文章。如果研究未评估干预措施、患者年龄在 18 岁以下或未以英文发表，则将其排除在外。删除重复项，然后由两位作者对所有文章进行标题和摘要的初步筛选，随后阅读全文。作者组内部讨论了冲突。对研究结果进行综合分析，以呈现结果。
有 7 篇文章被纳入分析。大多数研究调查了行为治疗和初级保健之间的综合护理模式，只有一项研究调查了认知行为治疗（CBT）的实施。结果是精神疾病评分和物质或酒精使用、治疗利用以及所研究干预措施的实施情况的变化。没有研究显示出双重诊断患者有显著的结果。
在全科医疗中针对双重诊断患者的干预研究很少。这需要进一步调查在全科医疗中实施针对这一患者群体的干预措施的可能性。
