期刊
BRITISH JOURNAL OF GENERAL PRACTICE
卷 72, 期 716, 页码 E168-E178出版社
ROYAL COLL GENERAL PRACTITIONERS
DOI: 10.3399/BJGP.2021.0164
关键词
general practitioners; intellectual disability; mental disorders; mental health services; organisation and administration; primary health care
资金
- Netherlands Organization for Health Research and Development (ZonMw) [641001100]
- Ds J.A. Visscher foundation
Through a scoping review, it was found that GPs play important, diverse, and demanding roles in caring for patients with both intellectual disabilities and mental health disorders. However, there are identified gaps regarding effective training, guidelines and tools, collaborative mental health care, and payment models.
Background GPs are increasingly confronted with patients with both intellectual disabilities (ID) and mental health disorders (MHD). Currently, the care provided to these patients is found to be insufficient, putting them at risk of developing more severe MHD. Improving the quality of GP care will improve the whole of mental health care for this patient group. Therefore, an overview of the content and quality of care provided to them by the GP may be helpful. Aim To provide an up-to-date literature overview of the care provided by GPs to patients with ID and MHD, identify knowledge gaps, and inform research, practice, and policy about opportunities to improve care. Design and setting Scoping review. Method PubMed, PsycINFO, EMBASE, and grey literature were searched for publications concerning primary care and patients with ID and MHD. Selected publications were analysed qualitatively. Results One hundred publications met the inclusion criteria. Five overarching themes were identified: GP roles, knowledge and experience, caregiver roles, collaboration, and a standardised approach. The results show GPs' vital, diverse, and demanding roles in caring for patients with both ID and MHD. GPs experience problems in fulfilling their roles, and gaps are identified regarding effective GP training programmes, applicable guidelines and tools, optimal collaborative mental health care, and corresponding payment models. Conclusion The improvement required in the current quality of GP care to patients with ID and MHD can be achieved by bridging the identified gaps and initiating close collaborations between care professionals, policymakers, and organisational managers.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据