TY - JOUR
KW - Adult
KW - Austria
KW - Education, Medical, Continuing
KW - Family Practice/education
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Interviews as Topic
KW - Male
KW - Middle Aged
KW - Physician's Practice Patterns
KW - Primary Health Care
KW - Psychosomatic Medicine/education
KW - Questionnaires
KW - Time Factors
AU - C. Fazekas
AU - F. Matzer
AU - E. R. Greimel
AU - G. Moser
AU - M. Stelzig
AU - W. Langewitz
AU - B. Loewe
AU - W. Pieringer
AU - E. Jandl-Jager
A1 - 
AB - BACKGROUND: General practitioners (GPs) are often confronted with patients presenting somatic symptoms presumed to be decisively modulated by psychosocial factors. OBJECTIVES: We aimed to explore GPs' reported clinical routine in dealing with these patients according to the GPs' level of training in psychosomatic medicine. METHODS: A structured postal questionnaire survey was conducted among all Austrian GPs with a standardized training background in psychosomatic medicine (three levels of training; duration between one and six years) as well as in a random national sample of Austrian GPs without such training, resulting in four study subgroups. RESULTS: Respondents estimated that between 20% and 40% of their patients presenting somatic symptoms need psychosocial factors to be addressed. Study subgroups differed significantly concerning their reported diagnostic and therapeutic routine behavior patterns. Some diagnostic approaches such as clarification of lay etiology increased linearly with the level of training. The proportion of patients receiving corresponding treatment in the GP's own practice was also reported to increase with the level of training (no training: 35%, levels one and two: 46%, level three: 54%), although all subgroups estimated that over 20% of patients do not receive any corresponding treatment. CONCLUSIONS: Results point at the clinical relevance of a general training in psychosomatic medicine in primary care. They also suggest specific training effects that need to be substantiated in observational studies.
BT - Wiener klinische Wochenschrift
C5 - Medically Unexplained Symptoms
CP - 13-14
CY - Austria
DO - 10.1007/s00508-009-1176-9
IS - 13-14
JF - Wiener klinische Wochenschrift
N2 - BACKGROUND: General practitioners (GPs) are often confronted with patients presenting somatic symptoms presumed to be decisively modulated by psychosocial factors. OBJECTIVES: We aimed to explore GPs' reported clinical routine in dealing with these patients according to the GPs' level of training in psychosomatic medicine. METHODS: A structured postal questionnaire survey was conducted among all Austrian GPs with a standardized training background in psychosomatic medicine (three levels of training; duration between one and six years) as well as in a random national sample of Austrian GPs without such training, resulting in four study subgroups. RESULTS: Respondents estimated that between 20% and 40% of their patients presenting somatic symptoms need psychosocial factors to be addressed. Study subgroups differed significantly concerning their reported diagnostic and therapeutic routine behavior patterns. Some diagnostic approaches such as clarification of lay etiology increased linearly with the level of training. The proportion of patients receiving corresponding treatment in the GP's own practice was also reported to increase with the level of training (no training: 35%, levels one and two: 46%, level three: 54%), although all subgroups estimated that over 20% of patients do not receive any corresponding treatment. CONCLUSIONS: Results point at the clinical relevance of a general training in psychosomatic medicine in primary care. They also suggest specific training effects that need to be substantiated in observational studies.
PP - Austria
PY - 2009
SN - 0043-5325; 0043-5325
SP - 446
EP - 453
EP - 
T1 - Psychosomatic medicine in primary care: influence of training
T2 - Wiener klinische Wochenschrift
TI - Psychosomatic medicine in primary care: influence of training
U1 - Medically Unexplained Symptoms
U2 - 19657607
U3 - 10.1007/s00508-009-1176-9
VL - 121
VO - 0043-5325; 0043-5325
Y1 - 2009
ER -