Perception of family doctors on the approach to mental health in appointments
DOI:
https://doi.org/10.32385/rpmgf.v40i5.13943Keywords:
Mental health, Family physician, Primary health careAbstract
Introduction: Mental disorders are one of the main causes of inability to work in Portugal and of seeking appointments in primary health care, with a great majority of these patients being monitored exclusively by their family doctor.
Objectives: Evaluate training in mental health, the degree of importance given to mental health, and family doctors’ ability to address it in appointment.
Method: Observational, cross-sectional, and descriptive study. An original questionnaire, exploring socio-professional data, training in mental health, and approach to mental health in appointment. The present study had a favorable opinion from the ARS Centro Ethics Committee. The statistical analysis was performed with SPSS®.
Results: Four hundred and forty-nine family physicians from different regions of the country, 75.3% female and 76% specialists. There was a reduced training rate (45%). Most of the sample considers that quality training exists but is scarce. Generally, physicians give importance to the mental health approach. However, those with more experience and training in mental health are more confident in their approach.
Conclusion: In the present study, there is a reduced rate of family doctors with specific training in mental health, with those who do, reporting greater confidence and having more knowledge in psychiatric pathology. Therefore, the need to increase the availability of training for family doctors becomes evident to improve the approach to mental health in primary care.
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References
1. World Health Organization. Health and well-being [homepage]. Geneva: WHO; 2023. Available from: https://www.who.int/data/gho/data/major-themes/health-and-well-being
2. World Health Organization. Mental health [homepage]. Geneva: WHO; 2023. Available from: https://www.who.int/data/gho/data/themes/theme-details/GHO/mental-health
3. Fernandes L, Basílio N, Figueira S, Nunes JM. Saúde mental em medicina geral familiar: obstáculos e expectativas percecionados pelos médicos de família [Mental health in general family medicine: obstacles and expectations perceived by family physicians]. Ciênc Saúde Colet. 2017;22(3):797-805. Portuguese
4. Silva AI, Nogueira AS, Campos R, Martins S. Saúde mental: obstáculos e expectativas sentidos pelo médico de família [Mental health: obstacles and expectations of family physicians]. Rev Port Med Geral Fam. 2013;29(5):298-304. Portuguese
5. Addington D, Kyle T, Desai S, Wang JL. Facilitators and barriers to implementing quality measurement in primary mental health care: systematic review. Can Fam Physician. 2010;56(12):1322-31.
6. Van Rijswijk E, van Hout H, van de Lisdonk E, Zitman F, van Weel C. Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by family physicians: a focus group study. BMC Fam Pract. 2009;10:52.
7. Barley EA, Murray J, Walters P, Tylee A. Managing depression in primary care: a meta-synthesis of qualitative and quantitative research from the UK to identify barriers and facilitators. BMC Fam Pract. 2011;12:47.
8. Smolders M, Laurant M, Verhaak P, Prins M, van Marwijk H, Penninx B, et al. Which physician and practice characteristics are associated with adherence to evidence-based guidelines for depressive and anxiety disorders? Med Care. 2010;48(3):240-8.
9. Hill MM, Hill A. Investigação por questionário. 2ª ed. Lisboa: Sílabo; 2008. ISBN 9789726182733
10. Streiner DL, Norman GR, Cairney J. Health measurement scales: a practical guide to their development and use. 5th ed. Oxford: Oxford University Press; 2014. ISBN 9780191765452
11. Hodgkinson S, Godoy L, Beers LS, Lewin A. Improving mental health access for low-income children and families in the primary care setting. Pediatrics. 2017;139(1):e20151175.
12. Gureje O, Abdulmalik J, Kola L, Musa E, Yasamy MT, Adebayo K. Integrating mental health into primary care in Nigeria: report of a demonstration project using the mental health gap action programme intervention guide. BMC Health Serv Res. 2015;15:242.
13. Ayano G, Assefa D, Haile K, Chaka A, Haile K, Solomon M, et al. Mental health training for primary health care workers and implication for success of integration of mental health into primary care: evaluation of effect on knowledge, attitude and practices (KAP). Int J Ment Health Syst. 2017;11:63.
14. Ordem dos Psicólogos Portugueses. O impacto da saúde mental na saúde física: custos económicos e intervenções psicológicas custo-efetivas [homepage]. Lisboa: OPP; 2023. Available from: https://recursos.ordemdospsicologos.pt/repositorio/estudo/o-impacto-da-saude-mental-na-saude-fisica-custos-economicos-e-intervencoes-psicologicas-custo-efectivas
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