Kerr M, Dunstan F, Thapar A
University of Wales College of Medicine, Cardiff.
Br J Gen Pract. 1996 Feb;46(403):92-4.
The views of general practitioners on their increasing role in caring for people with learning disability in the community are not known.
A study was carried out to assess the views of general practitioners with regard to providing routine care, organizing health promotion and specific health checks for people with learning disability and the role of specialists.
A postal questionnaire was sent to all 242 general practitioners in Gwent, south Wales. Participants had to mark their level of agreement with 20 attitude statements regarding learning disability.
A total of 126 general practitioners (52%) responded. Respondents generally agreed that general practitioners were responsible for the medical care of people with learning disability. Respondents tended to be opposed to providing regular structured health promotion for people with learning disability, such as annual health checks and assessing hearing and eyesight. Specialist services were generally valued by respondents.
General practitioners largely accepted their role as primary health care providers for people with learning disability. In contrast, their role as providers of health promotion for this patient group was not generally accepted. Further research into the appropriateness and opportunity costs of health screening for people with learning disability is needed.
全科医生对于自身在社区中照顾学习障碍患者方面日益增加的作用的看法尚不清楚。
开展一项研究,以评估全科医生对于为学习障碍患者提供常规护理、组织健康促进活动和特定健康检查以及专科医生作用的看法。
向南威尔士格温特郡的所有242名全科医生发送了一份邮政问卷。参与者必须对20条关于学习障碍的态度陈述表明自己的同意程度。
共有126名全科医生(52%)回复。受访者普遍认为全科医生负责学习障碍患者的医疗护理。受访者倾向于反对为学习障碍患者提供定期的结构化健康促进活动,如年度健康检查以及听力和视力评估。受访者普遍重视专科服务。
全科医生在很大程度上接受了自己作为学习障碍患者初级医疗服务提供者的角色。相比之下,他们作为该患者群体健康促进活动提供者的角色并未得到普遍认可。需要对学习障碍患者健康筛查的适宜性和机会成本进行进一步研究。