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Schizophrenia in general practice: a national survey of general practitioners in Ireland
B Gavin1, W Cullen, B O'Donoghue
1St John of God Hospital, Dublin.
Background:
Chronic schizophrenia is challenging to manage in primary care.
Aims:
We sought to establish the views of General Practitioners about managing patients with chronic schizophrenia in primary care.
Methods:
A cross-sectional, postal survey questionnaire of a randomly selected sample of 20% of GPs was carried out.
Results:
Most GPs (97.2%) have at least one person with schizophrenia attending their practice. A substantial number of GPs (22.2%) treat cases of schizophrenia without specialist input following an initial referral to psychiatric services. Almost all (88.7%) advised patients who had experienced multiple relapses to remain on medication indefinitely. One third of GPs reported that they always experience difficulties managing patients with schizophrenia in their practice. Non-adherence with prescribed medication and loss to follow-up were the commonest impediments to treatment encountered.
Conclusion:
GPs require appropriate back up from specialist services to enable their management of chronic schizophrenia.
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