Psychosocial care in general practice - Results of a demonstration projecton quality management in psychosocial primary care

Citation
K. Fritzsche et al., Psychosocial care in general practice - Results of a demonstration projecton quality management in psychosocial primary care, PSY PSY MED, 50(6), 2000, pp. 240-246
Citations number
35
Language
TEDESCO
art.tipo
Article
Categorie Soggetti
Psycology
Journal title
PSYCHOTHERAPIE PSYCHOSOMATIK MEDIZINISCHE PSYCHOLOGIE
ISSN journal
0937-2032 → ACNP
Volume
50
Issue
6
Year of publication
2000
Pages
240 - 246
Database
ISI
SICI code
0937-2032(200006)50:6<240:PCIGP->2.0.ZU;2-F
Abstract
Since 1987, psychosocial primary care (PPC) provided by General Practitione rs, are reimbursed by German health insurances. The aim of the psychosocial primary care is to improve recognition and treatment of mental disorders i n the primary care sector. As a part of a eight-center national demonstrati on program on quality management in the outpatient services, General Practi tioners (n = 191)from 5 regions participated in the study. 1341 treatment e pisodes of patients with predominately psychosocial strain were documented. Differences between psychosocial strain, treatment and outcome were determ ined by analyses of variance. Men and patients beyond the age of 65 were un derrepresented. Psychosocial treatments were offered more often to those pa tients, who had the highest level of anxiety and depression. Patients with physical illness, with pain and without psychological attribution to the il lness belief were offered less psychosocial interventions and reached a wor se outcome. The study outcome helps to improve training programs as to reco gnition and treatment of psychosocial problems in primary care. Male and ge nerally elderly patients with somatic symptoms and lack of psychological at tribution need a special psychosocial intervention to improve the outcome.