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首页> 外文期刊>BMC Family Practice >Care provided by general practitioners to patients with psychotic disorders: a cohort study
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Care provided by general practitioners to patients with psychotic disorders: a cohort study

机译：全科医师向精神病患者提供的护理：一项队列研究

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Background Patients suffering from psychotic disorders have an increased risk of comorbid somatic diseases such as cardiovascular disorders and diabetes mellitus. Doctor-related factors, such as unfamiliarity with these patients, as well as patient-related factors, such as cognitive disturbance and negative symptoms, contribute to suboptimal health care for these patients. General practitioners (GPs) could play a key role in diagnosing and treating this somatic comorbidity as in the Netherlands, almost all residents are registered at a general practice. This study aims to find out whether there are any differences between the levels of health care provided by GPs to patients with psychotic disorders, compared to other types of patients. Methods A cohort of patients with an ICPC code of psychosis and two matched control groups, one consisting of patients with other mental problems and the other one of patients without any mental problems, were followed over a period of 5 years. Results Patients with psychotic disorders (N = 734) contacted the GP practice more often than patients in the control groups. These patients, both adults (p = 0.051) and the elderly (p 65 years old (p = 0.007). With regard to chronic illnesses, elderly psychosis patients had fewer contacts related to cardiovascular diseases or chronic lung diseases. Conclusion Patients with psychotic disorders contact the GP practice more frequently than other types of patients. Adult psychosis patients with diabetes mellitus, cardiovascular diseases or chronic lung diseases receive the same amount of health care for these diseases as other primary care patients. The finding that older patients with psychotic disorders are diagnosed with cardiovascular diseases and obstructive lung diseases less frequently than other types of elderly patients requires further study.
机译：背景技术患有精神病的患者患有诸如心血管疾病和糖尿病之类的合并体细胞疾病的风险增加。与医生相关的因素（例如不熟悉这些患者）以及与患者相关的因素（例如认知障碍和负面症状）导致这些患者的医疗服务欠佳。全科医生（GPs）可以在诊断和治疗这种躯体合并症中发挥关键作用，就像在荷兰一样，几乎所有居民都在全科医生中注册。本研究旨在发现与其他类型的患者相比，全科医生向精神病患者提供的医疗保健水平是否存在差异。方法对一组患有ICPC精神病的患者和两个匹配的对照组进行研究，为期5年，其中一组由患有其他精神问题的患者组成，另一组由没有精神问题的患者组成。结果与对照组相比，精神病患者（N = 734）接触GP的频率更高。这些患者，成年人（p = 0.051）和老年人（p 65岁（p = 0.007））在慢性疾病方面，老年精神病患者与心血管疾病或慢性肺部疾病的接触较少。结论精神病患者与其他类型的患者相比，联系GP执业的频率更高。患有糖尿病，心血管疾病或慢性肺部疾病的成年精神病患者与其他初级保健患者获得的这些疾病的保健服务水平相同。与其他类型的老年患者相比，被诊断出患有心血管疾病和阻塞性肺疾病的频率更低，需要进一步研究。

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