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Hospital doctors' management of psychological problems
The British Journal of Psychiatry : the Journal of Mental Science
|February 1, 1986
Summary
Hospital doctors recognize the importance of emotional care for patients, but their practices in assessing, treating, and referring psychological issues vary significantly, highlighting a gap in understanding their clinical roles.
Area of Science:
- Psychiatry
- Medical Psychology
- Hospital Medicine
Background:
- Psychological and social difficulties are prevalent in medical and surgical patients.
- Psychiatrists have limited capacity to treat all affected patients.
- Hospital physicians and surgeons manage the primary psychological care, yet their practices are poorly understood.
Purpose of the Study:
- To investigate the attitudes and clinical practices of physicians and surgeons regarding psychological care.
- To identify variations in the assessment, treatment, and referral of psychological issues by hospital doctors.
Main Methods:
- A questionnaire was administered to physicians and surgeons in Oxford.
- The survey focused on their beliefs and actions concerning patient emotional care.
- Data analysis explored associations with factors like chronic care responsibility, specialty, and seniority.
Main Results:
- Nearly all respondents affirmed the importance of emotional care for patients.
- Significant variability was observed in current practices and desired approaches to psychological care.
- Practices were associated with the degree of responsibility for chronic care, medical specialty, and professional seniority.
Conclusions:
- Hospital doctors acknowledge the significance of psychological well-being in patient care.
- There is a wide disparity in how physicians and surgeons manage psychological and social difficulties.
- Factors such as specialty and experience influence the approach to psychological care in general hospital settings.