Clinical Practice Settings Associated with GPs Who Take on Patients with Mental Disorders.

TitleClinical Practice Settings Associated with GPs Who Take on Patients with Mental Disorders.
Publication TypeJournal Article
Year of Publication2010
AuthorsMJ Fleury, JM Bamvita, Aubé D, Tremblay J
JournalHealthc Policy
Volume5
Issue4
Pagination90-104
Date Published2010 May
ISSN1715-6572
Abstract

In light of current reforms to reinforce primary mental healthcare and service integration, this paper assesses general practitioners' (GPs') management of patients with mental disorders (PMD) and its associated practice settings and clinical characteristics. The study is based on a survey of 398 Quebec GPs. Results showed that GPs who receive patients with moderate and transient mental disorders (PMD-M) usually follow them on a continuous basis; conversely, only a quarter of GPs who see patients with severe and persistent mental disorders (PMD-S) provide follow-up. With the exception of walk-in clinics, all clinical settings are associated with GPs who take on PMD-M. No setting was found to be significantly associated with GPs taking on PMD-S. Competency, skills and confidence seem to be core factors in decisions to take on PMD. Group practice models (CLSCs, network clinics) and shared-care initiatives should be encouraged to manage more complex PMD cases.

Alternate JournalHealthc Policy
PubMed ID21532772
PubMed Central IDPMC2875895

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