[Subjective criteria of schizophrenic patients in selecting a physician in ambulatory care]

Several studies Conducted during the last 30 years have shown the high prevalence of mental disorder among patients of general practitioners (GPs). The integration of out patients care of schizophrenics into primary care remains controversial. Yet there is a lack of studies determining the subjective view of clients on their choice of their physician.

In this study we interviewed in patient schizophrenics on their choice of physician for out patient care.

27.3% were being treated only by a GP, 29.9% only by a psychiatrist and 36.4% by a GP and a psychiatrist. Those treated only by a GP knew him a lot longer. The appraisal was more positive for those treated only by a GP, while those treated by both psychiatrist and GP rated the competence of the psychiatrist more positive by.

Those treated by both GP and psychiatrist had the longest length of illness, yet the lowest rate of rehospitalisation. Although these results cannot only be seen as a result of the choice of physician, they still confirm the importance of interdisciplinary cooperation and should encourage GPs and psychiatrists to recommend their schizophrenics to be treated cooperatively.