'A really good GP': Engagement and satisfaction with general practice care of people with severe and persistent mental illness.


Journal

Australian journal of general practice
ISSN: 2208-7958
Titre abrégé: Aust J Gen Pract
Pays: Australia
ID NLM: 101718099

Informations de publication

Date de publication:
Historique:
entrez: 3 2 2020
pubmed: 3 2 2020
medline: 30 9 2020
Statut: ppublish

Résumé

People with severe and persistent mental illness have increased psychosocial and physical morbidity. This study sought to understand patient engagement and satisfaction with general practice. A survey study of people attending community mental health clinics included Likert scale items about general practice engagement, satisfaction, access enablers and attendance challenges. Of 82 respondents, 85% had a regular general practitioner (GP), and 99% had visited a GP at least once in the past 12 months (32% had visited a GP >10 times). Eighty-eight per cent of respondents were satisfied with their current GP's care. Significantly more respondents were satisfied with the GP's focus on their physical than their mental health concerns (95% versus 76% respectively, P <0.05). Bulk billing, timely appointments and proximity were enablers of attendance for most respondents. The majority of participants disagreed that making, keeping or waiting for GP appointments was difficult. Closer collaboration with treating psychiatrists and case managers may increase GP engagement with patients' mental healthcare.

Sections du résumé

BACKGROUND AND OBJECTIVES
People with severe and persistent mental illness have increased psychosocial and physical morbidity. This study sought to understand patient engagement and satisfaction with general practice.
METHOD
A survey study of people attending community mental health clinics included Likert scale items about general practice engagement, satisfaction, access enablers and attendance challenges.
RESULTS
Of 82 respondents, 85% had a regular general practitioner (GP), and 99% had visited a GP at least once in the past 12 months (32% had visited a GP >10 times). Eighty-eight per cent of respondents were satisfied with their current GP's care. Significantly more respondents were satisfied with the GP's focus on their physical than their mental health concerns (95% versus 76% respectively, P <0.05). Bulk billing, timely appointments and proximity were enablers of attendance for most respondents. The majority of participants disagreed that making, keeping or waiting for GP appointments was difficult.
DISCUSSION
Closer collaboration with treating psychiatrists and case managers may increase GP engagement with patients' mental healthcare.

Identifiants

pubmed: 32008274
doi: 10.31128/AJGP-02-19-4854
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

61-65

Auteurs

Nancy Sturman (N)

MBChB, FRACGP, BA (Hons), Associate Professor, Primary Care Clinical Unit, School of Clinical Medicine, The University of Queensland, Qld.

Ryan Williams (R)

MBBS, FRACGP, BA, BEd, General Practitioner, Stonewall Medical Centre, The University of Queensland, Qld.

Remo Ostini (R)

BA, GradDipPsych, PhD, Senior Research Fellow, Rural Clinical School Research Centre, The University of Queensland, Qld.

Marianne Wyder (M)

BA, PhD, Senior Research Fellow, Addiction and Mental Health Services, Metro South Health, Qld; Research Fellow, Hopkins Centre, Griffith University, Qld.

Dan Siskind (D)

MBBS, MPH, PhD, FRANZCP, Associate Professor, Faculty of Medicine, The University of Queensland, Qld; Clinical Academic Psychiatrist, Metro South Addiction and Mental Health Services, Qld.

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