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Tobias Wilfer1, Tanja Braungardt1, Wolfgang Schneider1

  • 1Klinik und Poliklinik für Psychosomatik und Psychotherapeutische Medizin Universitätsmedizin Rostock Gehlsheimer Str. 20 D-18147 Rostock Deutschland Klinik und Poliklinik für Psychosomatik und Psychotherapeutische Medizin, Universitätsmedizin Rostock.

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie
|March 5, 2019
PubMed
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Social issues like unemployment are central to patient visits in primary care. Doctors often medicalize these problems, leading to disability certificates instead of effective solutions.

Area of Science:

  • Primary Care Medicine
  • Social Determinants of Health
  • Psychosomatic Medicine

Background:

  • Social problems are significant factors in chronic psychosomatic diseases.
  • Unemployment is linked to a higher risk of mental and psychosomatic health issues.
  • Patient motivation for consultations may stem from underlying social issues.

Purpose of the Study:

  • To investigate the hypothesis that social issues are primary drivers for patient consultations.
  • To understand how general practitioners in Mecklenburg-Vorpommern (MV) handle social problems.

Main Methods:

  • A questionnaire was distributed to 1025 general practitioners in MV.
  • The study collected data on the management of social problems within primary care settings.
Keywords:
Family DoctorMedicalizationPsychosomatic DisorderPsychotherapySocial Problems

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Main Results:

  • Unemployment and job-related conflicts are the most prevalent social problems encountered.
  • Doctors frequently interpret social problems through a pathological lens (medicalization).
  • Disability certificates are often issued as a response to these perceived dysfunctional issues.

Conclusions:

  • The medicalization of social problems highlights systemic limitations within the healthcare system.
  • Inadequate handling of social issues can lead to early retirement due to misdiagnoses and disability certifications.
  • There is a need for alternative approaches to address social determinants of health in primary care.