Diagnostic barriers for somatic symptom disorders in primary care: study protocol for a mixed methods study in...

Area of Science:

• Psychiatry
• General Practice
• Health Services Research

Background:

• Somatoform or Somatic Symptom Disorders ((S)SD) are prevalent, impacting patient quality of life and increasing healthcare costs.
• Primary care is crucial for (S)SD management, yet diagnosis and treatment are often delayed.
• Evidence on diagnostic barriers and tailored interventions for (S)SD in primary care is limited.

Purpose of the Study:

• To analyze the primary care diagnostic process for (S)SD, identifying factors leading to diagnosis or non-diagnosis.
• To explore general practitioners' (GPs) perspectives on diagnosing (S)SD.
• To understand patient experiences with the diagnostic journey for (S)SD.

Main Methods:

• Mixed-methods approach combining qualitative (focus groups, interviews) and quantitative (nationwide survey) phases.
• Qualitative phase: Explores GP thoughts and behaviors in diagnosing (S)SD.
• Quantitative phase: Validates and generalizes initial findings through a nationwide GP survey in Germany.

Main Results:

• Focus groups and interviews will reveal specific barriers and facilitators in the (S)SD diagnostic pathway.
• The nationwide survey will quantify the prevalence and impact of identified diagnostic barriers among German GPs.
• Results will inform the development of targeted interventions to improve (S)SD diagnosis in primary care.

Conclusions:

• Understanding diagnostic barriers is essential for improving (S)SD care in primary care settings.
• Tailored interventions based on identified barriers can enhance diagnostic accuracy and timeliness.
• This research contributes to better management of (S)SD, improving patient outcomes and reducing healthcare burden.