澳大利亚一般实践中的焦虑管理:对2006年至2016年的遭遇进行分析
Erin L Parker1, Michelle Banfield2,3, Daniel B Fassnacht4,5,6
1School of Medicine and Psychology, Australian National University, Canberra, ACT, 2601, Australia. erin.parker@anu.edu.au.
BMC primary care
|August 4, 2023
概括
一般医生 (GPs) 正在管理更多的焦虑病例,自2006年以来,心理医生的转诊和抗抑郁药物的使用增加. 然而,在特定的患者群体中,高二胺处方仍然存在,这需要进一步调查医生对焦虑的治疗决策.
科学领域:
- 一般实践 一般实践
- 心理健康管理 心理健康管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 焦虑障碍很常见,一般医生 (GPs) 作为主要管理者.
- 这项研究评估了澳大利亚全科医生在"更好的访问"倡议 (2006年) 之后的焦虑管理.
研究的目的:
- 检查2006年至2016年澳大利亚GP焦虑管理的趋势.
- 评估"更好的访问"倡议对焦虑治疗模式的影响.
主要方法:
- "改善健康评估和护理"数据 (2006-2016) 的二次分析.
- 包括28,784个医生与焦虑的接触.
- 多变量物流回归用于分析管理因素.
主要成果:
- 医生对焦虑的管理从2.3%增加到3.2%的遭遇.
- 心理医生的转诊和SSRI/SNRI抗抑郁药的使用显著增加.
- 总体而言,二甲的处方量下降,但在某些患者群体中仍然很高.
结论:
- 焦虑症的GP工作量增加了,管理层更好地与指南保持一致.
- 持续在特定群体中处方大量二是令人担忧的.
- 建议进一步研究医生对焦虑治疗的决策.
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