比利时弗拉芒地区全科医生对开具沿海心理健康诊疗处方的看法。
General Practitioners' Perceptions on Prescribing Coastal Visits for Mental Health in Flanders (Belgium).
作者信息
Hooyberg Alexander, De Wever Van der Heyden Luka, Severin Marine I, De Henauw Stefaan, Everaert Gert
机构信息
Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium.
Department of Head and Skin, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium.
出版信息
Healthcare (Basel). 2025 Jul 3;13(13):1599. doi: 10.3390/healthcare13131599.
BACKGROUND
Increasing evidence suggests that visiting the coast benefits mental health and that coastal prescribing is a promising societal endpoint. General practitioners (GPs) are the pivotal access point for patients to receive diagnosis and treatment, but little is known about their perspective on recommending patients to visit the coast.
METHODS
This study applied qualitative semi-structured interviews to explore GPs' perspectives on coastal prescribing in Flanders. We interviewed eleven GPs (aged 32-69 years) and inspected their responses using inductive thematic analysis.
RESULTS
Results show that the interviewed GPs generally believed in the therapeutic benefits of the coast, but also acknowledged risks associated with crowding and patient-specific effects. Six barriers were identified for coastal prescribing: feasibility concerns, lack of awareness, prioritizing physical exercise or visiting nearby green nature, anticipating low motivation of the patient, feeling pressure to prescribe medication, and needing more scientific evidence. As solutions, they proposed gathering more scientific evidence and raising awareness. Finally, the GPs regarded their field expertise as valuable in helping to recruit patients for follow-up research on the health effects of the coast.
CONCLUSIONS
Our findings highlight the importance of engaging GPs, patients, and other stakeholders to identify key knowledge gaps before co-creating coastal prescribing in healthcare.
背景
越来越多的证据表明，前往海岸有益于心理健康，且沿海地区开方是一个有前景的社会目标。全科医生是患者接受诊断和治疗的关键接入点，但对于他们推荐患者前往海岸的看法却知之甚少。
方法
本研究采用定性半结构化访谈来探究弗拉芒地区全科医生对沿海地区开方的看法。我们采访了11名全科医生（年龄在32至69岁之间），并使用归纳主题分析法检查他们的回答。
结果
结果显示，接受采访的全科医生普遍相信海岸的治疗益处，但也承认存在与拥挤和患者特定影响相关的风险。确定了沿海地区开方的六个障碍：可行性担忧、缺乏认识、优先考虑体育锻炼或前往附近的绿色自然区域、预计患者积极性不高、感到有开药的压力以及需要更多科学证据。作为解决方案，他们提议收集更多科学证据并提高认识。最后，全科医生认为他们的专业知识对于帮助招募患者参与关于海岸健康影响的后续研究很有价值。
结论
我们的研究结果强调了在医疗保健领域共同创建沿海地区开方之前，让全科医生以及患者和其他利益相关者参与进来，以识别关键知识差距的重要性。
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