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Psychological problems in general practice patients: two assumptions explored.

P Salmon1, B Stanley, D Milne

  • 1Department of Psychology, University College London, UK.

The British Journal of Clinical Psychology
|November 1, 1988
PubMed
Summary
This summary is machine-generated.

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General practitioners (GPs) can reliably identify patients with psychological problems, who disproportionately tax their resources. These findings support the specialist model of psychological services in primary care.

Area of Science:

  • Psychology
  • General Practice
  • Primary Care Medicine

Background:

  • The 'specialist' model of psychological service delivery to general practitioners (GPs) requires scientific validation.
  • Existing research lacks robust evidence on the reliable identification of psychological issues in primary care settings and their impact on GP resources.

Purpose of the Study:

  • To evaluate the reliability of identifying patients with psychological problems by GPs.
  • To assess whether these patients disproportionately consume GP resources and ability.
  • To provide evidence for the 'specialist' model of psychological services.

Main Methods:

  • Psychologists observed 448 general practitioner (GP) consultations.
  • Independent ratings of psychological factors by GPs and psychologists.

Related Experiment Videos

  • GP satisfaction and consultation duration were recorded.
  • Patient psychiatric and social dysfunction were assessed using validated scales.

    • Main Results:

    • Both predictions of the specialist model were confirmed.
    • High agreement between GPs and psychologists in identifying psychological factors, exceeding previous reports.
    • Psychological problems were associated with longer, repeated, and less satisfying consultations for GPs.
    • Reliable identification of psychological issues is feasible in primary care.

    Conclusions:

    • The study provides scientific support for the 'specialist' model of psychological services in primary care.
    • GPs can reliably identify patients with psychological problems.
    • These patients place a significant and disproportionate demand on GP time and resources.
    • Integrating psychological services into primary care is warranted based on these findings.