THE IDENTIFICATION OF PSYCHIATRIC-ILLNESS BY PRIMARY CARE PHYSICIANS - THE EFFECT OF PATIENT GENDER

被引：10

作者：

CLEARY, PD

BURNS, BJ

NYCZ, GR

机构：

[1] Department of Health Care Policy, Harvard Medical School, Boston, 02115, MA, 25 Shattuck Street, Parcel B

[2] Duke University, Durham, North Carolina

[3] Marshfield Medical Foundation, Marshfield, Wisconsin

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1990年 / 5卷 / 04期

关键词：

diagnosis; gender; mental illness; psychiatric illness;

D O I：

10.1007/BF02600406

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective:This study tested several hypotheses about why women are more likely than men to have psychiatric disorders noted by their primary care physicians. Design:Patients were screened for mental disorders using the General Health Questionnaire. A stratified sample was assessed using the Schedule for Affective Disorders and Schizophrenia. Information on utilization and identification of mental bealth problems was abstracted from the medical records. Setting:The study was conducted at a multispecialty group practice in a semirural area of Wisconsin. Patients:Study participants consisted of a stratified probability sample of 247 patients seeking primary care. Results:Patients with a psychiatric illness who were relatively frequent users of the clinic were most likely to be identified by a physician as having a mental health problem. When psychiatric illness and utilization rates were statistically controlled, men and women had comparable identification rates. © 1990 Society of General Internal Medicine.

引用

页码：355 / 360

页数：6

共 32 条

[1]

Borus J.F., Howes M.J., Devins N.P., Rosenberg R., Livingston W.W., Primary health care providers’ recognition and diagnosis of mental disorders in their patients, Gen Hosp Psychiat, 10, pp. 317-21, (1988)

[2]

Kamerow D.B., Pincus H.A., MacDonald D.I., Alcohol abuse, other drug abuse, and mental disorders in medical practice. Prevalence, costs, recognition, and treatment, JAMA, 255, pp. 2054-7, (1986)

[3]

Schulberg H.C., Burns B.J., Mental disorders in primary care: epidemiologic, diagnostic, and treatment research directions, Gen Hosp Psychiat, 10, pp. 79-87, (1988)

[4]

Locke B.Z., Gardner E.A., Psychiatric disorders among patients of general practitioners and internists, Public Health Rep, 84, pp. 167-73, (1969)

[5]

Eastwood, The relation between physical and mental illness, (1975)

[6]

Regier D.A., Goldberg I.D., Taube C.A., The de facto U.S. mental health services system: a public health perspective, Arch Gen Psychiat, 35, pp. 685-96, (1978)

[7]

Hankin J.R., Oktay J.S., Mental disorder and primary medical care: an analytical review of the literature, pp. 78-661, (1979)

[8]

Hoeper E.W., Nycz G.R., Cleary P.D., Regier D.A., Goldberg I.D., Estimated prevalence of RDC mental disorder in primary medical care, Int J Mental Health, 8, pp. 6-15, (1979)

[9]

Shepherd M., Cooper B., Brown A.C., Kalton G.W., Psychiatric illness in general practice, (1966)

[10]

Gardner E.A., Emotional disorders in medical practice, Ann Intern Med, 73, (1970)

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