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首页> 外文期刊>Academic psychiatry: the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry >Psychiatry Residents' Perspectives of Primary Care in the Psychiatric Setting
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Psychiatry Residents' Perspectives of Primary Care in the Psychiatric Setting

机译：精神病学中初级保健的精神病学居民的观点

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ObjectiveGiven the growing interest in integrated care, this study sought to investigate the perception of psychiatry residents towards managing general medical conditions in their psychiatric patients.MethodsBetween July-October 2017, all 46 residents at an adult psychiatry program were asked to complete an online survey.ResultsSixty-seven percent responded. Most residents (81%) indicated they were knowledgeable and/or comfortable in managing medical conditions with supervision/consultation from a primary care provider. Residents also indicated that they would like to (48%) and/or should be able to (71%) manage the general medical conditions of their patients in the future with supervision/consultation from a primary care provider. An additional 26% indicated that they would like to and/or should be able to independently manage both behavioral and general medical conditions for their patients. Nicotine dependence, hypertension, dyslipidemias, and non-insulin-dependent diabetes were among the top conditions residents felt they should be able to manage (74%). A lack of knowledge, experience, training, and supervision were the most frequent barriers residents listed in providing general medical care to patients (71%). Residents noted that supervision from a primary care physician (29%) and additional education (54%) would help increase their comfort in managing medical conditions.ConclusionsPsychiatry residents were generally interested in managing basic medical issues. Opportunities to expand residency training in integrated care should be considered. With new models of integrated care emerging, future studies should explore how resident attitudes might evolve over time, as well as the attitudes and opinions of practicing psychiatrists and supervisors on this topic.
机译：目的是对综合护理的兴趣日益增长，这项研究试图调查精神病学居民在精神病患者中管理一般医疗条件的看法。一零零七年七月至10月，所有46名成年精神病程的居民被要求完成在线调查。结果六百分点回应。大多数居民（81％）表示他们在管理医疗条件下，他们在初级保健提供者的监督/咨询管理和/或舒适方面的知识渊博和/或舒适。居民还表示，他们希望（48％）和/或应该能够（71％）在未来管理初级保健提供者的监督/咨询期间的患者的一般医疗状况。另外26％表示他们希望和/或应该能够独立管理其患者的行为和一般医疗条件。尼古丁依赖性，高血压，血脂血症和非胰岛素依赖性糖尿病是居民觉得他们应该能够管理的（74％）。缺乏知识，经验，培训和监督是为患者提供一般医疗的最常见的障碍居民（71％）。居民指出，来自初级保健医生（29％）和额外教育（54％）的监督将有助于提高他们在管理医疗条件方面的舒适性.ConclusionsPschiaTry居民对管理基本医学问题普遍有兴趣。应考虑扩大纳入综合护理居住培训的机会。随着新型综合护理新兴的模型，未来的研究应该探讨居民态度如何随着时间的推移而发展，以及练习精神科医生和监事的态度和意见。

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