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[普通初级保健医生对神经科患者的态度和行为]

[The attitudes and behavior of the general primary-care physician towards the neurological patient].

作者信息

Casabella Abril B, Pérez Sánchez J

机构信息

Area Básica de Salud Raval-Sur, Centro de Atención Primaria Drassanes, Barcelona.

出版信息

Aten Primaria. 1995 Apr 15;15(6):385-6, 388.

PMID:7749030
Abstract

OBJECTIVE

  1. To find the opinion of general practitioners working in primary care (GP in PC) regarding how they deal with neurological patients. 2) To find the effect on this question of intern training in family and community medicine (FCM).

DESIGN AND SETTING

A survey filled out by a representative sample of GP in PC working at PC public clinics in 1991 in a health region in Catalonia.

PARTICIPANTS

56 GP in PC.

INTERVENTIONS

A self-administered selection questionnaire (multiple choice and scale of 5 points). MEASUREMENTS, MAIN RESULTS AND CONCLUSIONS: Less confidence handling neurological patients than patients with other common medical conditions. Greater need for recycling in neurology than in other basic areas of medicine. Positive impact of FCM intern training on doctors' approach to the examination of neurological patients and application of basic exploratory techniques (ophthalmoscope, reflex hammer, diapason and phonendoscope). The GP intern-trained in FCM lacks confidence in present out-patient specialised support (the area neuropsychiatrist).

摘要

目的

1)了解在基层医疗工作的全科医生(基层医疗全科医生)处理神经科患者的方式。2)了解家庭与社区医学实习培训对该问题的影响。

设计与地点

1991年在加泰罗尼亚一个卫生区域的基层医疗公共诊所,由基层医疗全科医生的代表性样本填写的一份调查问卷。

参与者

56名基层医疗全科医生。

干预措施

一份自我管理的选答问卷(多项选择题和5分制量表)。测量、主要结果与结论:处理神经科患者时比处理其他常见疾病患者时信心更低。神经科再培训的需求比其他医学基础领域更大。家庭与社区医学实习培训对医生检查神经科患者的方法和应用基本检查技术(检眼镜、反射锤、音叉和听诊器)有积极影响。接受过家庭与社区医学实习培训的基层医疗全科医生对目前门诊专科支持(神经精神科领域)缺乏信心。

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