首页> 外文期刊>Journal of the Canadian Academy of Child and Adolescent Psychiatry >Referral Patterns and Training Needs in Psychiatry among Primary Care Physicians in Canadian Rural/Remote Areas
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Referral Patterns and Training Needs in Psychiatry among Primary Care Physicians in Canadian Rural/Remote Areas

机译:加拿大农村/偏远地区初级保健医师的转诊模式和精神病学培训需求

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Objectives: This study examined the referral patterns of rural/remote primary care physicians (PCPs) as well as their needs and interests for further training in child/adolescent mental health. Methods: Surveys were mailed to Canadian rural/remote PCPs requesting participants’ demographic information, training and qualifications, referral patterns, and identification of needs and interests for continuing medical education (CME). Results: PCPs were most likely to refer to mental health programs, and excessive wait times are the most common deterrent. Major reasons for referral were to obtain recommendations regarding medications and assessing non-responsive patients. While PCPs expressed higher levels of confidence in making appropriate referrals, they were much less confident in their knowledge and skills in managing mental health problems. Professional development in child/adolescent psychiatry is a moderate or highly perceived CME need. Overall, attention deficit/hyperactivity disorder (ADHD) was the most commonly chosen topic of interest and CME in the community was preferred, but some regional differences emerged. Conclusions: PCPs viewed limited community resources and self-identified gaps in skills as barriers to service provision. Professional development in child and adolescent mental health for PCPs by preferred modes appears desired.
机译:目的:本研究检查了农村/远程初级保健医生(PCP)的转诊模式,以及他们在儿童/青少年心理健康方面接受进一步培训的需求和兴趣。方法:将调查问卷邮寄到加拿大农村/远程PCP,要求参与者的人口统计学信息,培训和资格,推荐方式以及对继续医学教育(CME)的需求和兴趣的识别。结果:五氯苯酚最有可能涉及心理健康计划,而过度的等待时间是最常见的威慑措施。转诊的主要原因是获得有关药物的建议和评估无反应的患者。虽然初级保健医生对转介的信心更高,但他们对处理精神健康问题的知识和技能却缺乏信心。儿童/青少年精神病学的专业发展是中等或高度感知的CME需求。总体而言,注意力缺陷/多动障碍(ADHD)是最常被关注的话题,社区中的CME是首选,但出现了一些地区差异。结论:初级保健人员将有限的社区资源和自我识别的技能差距视为提供服务的障碍。希望通过首选方式在五氯苯酚的儿童和青少年心理健康方面进行专业发展。

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