Byng R
Soc Sci Med. 1993 Mar;36(5):625-9. doi: 10.1016/0277-9536(93)90059-d.
Thirty-nine primary health care workers were interviewed in the Esteli Region of Nicaragua to determine their knowledge, attitudes and ideas for change regarding mental illness in primary care. The aim was to provide a qualitative description in order to assess learners' needs and plan a training programme in mental health care to be carried out by the Esteli mental health team. The results showed a wide range in knowledge regarding diagnoses and treatments. Many of the workers were keen to learn more and nearly all had positive ideas as to how primary care and links with secondary care could be improved. The study is an example of how a small qualitative study can help planning of training programmes and can highlight those primary health care issues relevant to the local situation.
在尼加拉瓜的埃斯特利地区，对39名初级卫生保健工作者进行了访谈，以了解他们在初级保健中对精神疾病的知识、态度以及变革想法。目的是提供定性描述，以便评估学习者的需求，并规划由埃斯特利精神卫生团队开展的精神卫生保健培训项目。结果显示，在诊断和治疗知识方面存在很大差异。许多工作者渴望学习更多知识，几乎所有人都对如何改善初级保健以及与二级保健的联系有着积极的想法。该研究是一个范例，展示了小型定性研究如何有助于培训项目的规划，并能突出那些与当地情况相关的初级卫生保健问题。
