Cargando…

How do General Practitioners experience providing care for their psychotic patients?

BACKGROUND: In primary care, GPs usually provide care for patients with chronic diseases according to professional guidelines. However, such guidelines are not available in the Netherlands for patients with recurring psychoses. It seems that the specific difficulties that GPs experience in providing...

Descripción completa

Detalles Bibliográficos
Autores principales: Oud, Marian JT, Schuling, Jan, Slooff, Cees J, Jong, Betty Meyboom-de
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1933537/
https://www.ncbi.nlm.nih.gov/pubmed/17598879
http://dx.doi.org/10.1186/1471-2296-8-37
_version_ 1782134333482467328
author Oud, Marian JT
Schuling, Jan
Slooff, Cees J
Jong, Betty Meyboom-de
author_facet Oud, Marian JT
Schuling, Jan
Slooff, Cees J
Jong, Betty Meyboom-de
author_sort Oud, Marian JT
collection PubMed
description BACKGROUND: In primary care, GPs usually provide care for patients with chronic diseases according to professional guidelines. However, such guidelines are not available in the Netherlands for patients with recurring psychoses. It seems that the specific difficulties that GPs experience in providing care for these patients hinder the development and implementation of such guidelines. This study aims to explore the chances and problems GPs meet when providing care for patients susceptible for recurring psychoses, including schizophrenia and related disorders, bipolar disorder, and psychotic depression. METHODS: A qualitative study of focus group discussions with practising GPs in both town and rural areas. Transcripts from three focus groups with 19 GPs were analysed with the computer program 'Kwalitan'. Theoretical saturation was achieved after these three groups. RESULTS: Analysis showed that eight categories of factors influenced the GPs' care for psychotic patients: patient presentation (acute vs. chronic phase), emotional impact, expertise, professional attitude, patient related factors, patient's family, practice organization, and collaboration with psychiatric specialists. CONCLUSION: Current primary care for psychotic patients depends very much on personal characteristics of the GP and the quality of local collaboration with the Mental Health Service. A quantitative study among GPs using a questionnaire based on the eight categories mentioned above would determine the extent of the problems and limitations experienced with this type of care. From the results of this quantitative study, new realistic guidelines could be developed to improve the quality of care for psychotic patients.
format Text
id pubmed-1933537
institution National Center for Biotechnology Information
language English
publishDate 2007
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-19335372007-07-27 How do General Practitioners experience providing care for their psychotic patients? Oud, Marian JT Schuling, Jan Slooff, Cees J Jong, Betty Meyboom-de BMC Fam Pract Research Article BACKGROUND: In primary care, GPs usually provide care for patients with chronic diseases according to professional guidelines. However, such guidelines are not available in the Netherlands for patients with recurring psychoses. It seems that the specific difficulties that GPs experience in providing care for these patients hinder the development and implementation of such guidelines. This study aims to explore the chances and problems GPs meet when providing care for patients susceptible for recurring psychoses, including schizophrenia and related disorders, bipolar disorder, and psychotic depression. METHODS: A qualitative study of focus group discussions with practising GPs in both town and rural areas. Transcripts from three focus groups with 19 GPs were analysed with the computer program 'Kwalitan'. Theoretical saturation was achieved after these three groups. RESULTS: Analysis showed that eight categories of factors influenced the GPs' care for psychotic patients: patient presentation (acute vs. chronic phase), emotional impact, expertise, professional attitude, patient related factors, patient's family, practice organization, and collaboration with psychiatric specialists. CONCLUSION: Current primary care for psychotic patients depends very much on personal characteristics of the GP and the quality of local collaboration with the Mental Health Service. A quantitative study among GPs using a questionnaire based on the eight categories mentioned above would determine the extent of the problems and limitations experienced with this type of care. From the results of this quantitative study, new realistic guidelines could be developed to improve the quality of care for psychotic patients. BioMed Central 2007-06-28 /pmc/articles/PMC1933537/ /pubmed/17598879 http://dx.doi.org/10.1186/1471-2296-8-37 Text en Copyright © 2007 Oud et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Oud, Marian JT
Schuling, Jan
Slooff, Cees J
Jong, Betty Meyboom-de
How do General Practitioners experience providing care for their psychotic patients?
title How do General Practitioners experience providing care for their psychotic patients?
title_full How do General Practitioners experience providing care for their psychotic patients?
title_fullStr How do General Practitioners experience providing care for their psychotic patients?
title_full_unstemmed How do General Practitioners experience providing care for their psychotic patients?
title_short How do General Practitioners experience providing care for their psychotic patients?
title_sort how do general practitioners experience providing care for their psychotic patients?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1933537/
https://www.ncbi.nlm.nih.gov/pubmed/17598879
http://dx.doi.org/10.1186/1471-2296-8-37
work_keys_str_mv AT oudmarianjt howdogeneralpractitionersexperienceprovidingcarefortheirpsychoticpatients
AT schulingjan howdogeneralpractitionersexperienceprovidingcarefortheirpsychoticpatients
AT slooffceesj howdogeneralpractitionersexperienceprovidingcarefortheirpsychoticpatients
AT jongbettymeyboomde howdogeneralpractitionersexperienceprovidingcarefortheirpsychoticpatients