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背景和目的经过培训的家庭医生可评估患者的心理健康症状、实施心理干预。由于将患者转至心理健康专业人员处存在困难,许多家庭医生独自提供门诊心理健康治疗,如简单的诊所咨询。关注的现有问题包括医生的兴趣、对资质的理解和在家庭医学中从事简单诊所咨询的实际问题。方法对佛罗里达11个家庭医学住院医生项目的家庭医生进行调查。结果家庭医生为轻至中度心理健康障碍患者提供了规范的评估、诊断和治疗。除了需要专业咨询而转至专科人员外,医生更愿意为自己的患者进行评估。不过,家庭医生往往自己提供简单诊所咨询。家庭医生认为他们拥有的知识和技能,能够胜任并有效地向患者提供简单的诊所咨询。他们确信患者能够接纳且更愿意接受源于自己的家庭医生提供的简单诊所咨询,而不是源于专业人员的咨询。结论在家庭医学门诊设施中,家庭医生愿意并且感觉有能力识别和治疗心理障碍患者,包括提供简单的诊所咨询。为了能够有效地教会家庭医生理解什么是有效的心理健康干预还需做进一步研究。由家庭医生提供的心理健康治疗可提高患者的满意度,改善慢性病管理效果,对护理质量也会产生积极影响。
Background and purpose A trained family physician evaluates the patient’s mental health and performs psychological interventions. Due to difficulties in moving patients to mental health professionals, many GPs provide outpatient psychosocial treatment alone, such as simple clinic counseling. Existing issues of interest include the interests of physicians, understanding of qualifications, and practical aspects of engaging in simple clinic counseling in family medicine. Methods Investigate family doctors in 11 family medical resident programs in Florida. Results Family doctors provided standardized assessment, diagnosis and treatment of patients with mild to moderate mental health problems. In addition to the need for professional advice and transfer to specialist staff, doctors are more willing to evaluate their patients. However, family doctors tend to provide simple clinic counseling themselves. Family physicians believe they have the knowledge and skills to be competent and effective in providing patients with simple clinic advice. They are convinced that patients are receptive and more receptive to simple clinic counseling from their own GP, rather than from professional counseling. Conclusions Family GPs are willing and able to identify and treat patients with mental disorders at home-based medical outpatient facilities, including providing simple clinic counseling. In order to be able to effectively teach family doctors to understand what is effective mental health intervention needs further study. Mental health treatment provided by a family doctor improves patient satisfaction, improves the management of chronic conditions, and has a positive impact on the quality of care.