TY - JOUR
AU - Marie-Josee Fleury
AU - Jean-Marie Bamvita
AU - Denise Aube
AU - Jacques Tremblay
A1 - 
AB - In light of current reforms to reinforce primary mental healthcare and service integration, this paper assesses general practitioners' (GPs') management of patients with mental disorders (PMD) and its associated practice settings and clinical characteristics. The study is based on a survey of 398 Quebec GPs. Results showed that GPs who receive patients with moderate and transient mental disorders (PMD-M) usually follow them on a continuous basis; conversely, only a quarter of GPs who see patients with severe and persistent mental disorders (PMD-S) provide follow-up. With the exception of walk-in clinics, all clinical settings are associated with GPs who take on PMD-M. No setting was found to be significantly associated with GPs taking on PMD-S. Competency, skills and confidence seem to be core factors in decisions to take on PMD. Group practice models (CLSCs, network clinics) and shared-care initiatives should be encouraged to manage more complex PMD cases.
BT - Healthcare Policy/Politiques de Sante
C5 - General Literature
CP - 4
CY - Canada
IS - 4
JF - Healthcare Policy/Politiques de Sante
N2 - In light of current reforms to reinforce primary mental healthcare and service integration, this paper assesses general practitioners' (GPs') management of patients with mental disorders (PMD) and its associated practice settings and clinical characteristics. The study is based on a survey of 398 Quebec GPs. Results showed that GPs who receive patients with moderate and transient mental disorders (PMD-M) usually follow them on a continuous basis; conversely, only a quarter of GPs who see patients with severe and persistent mental disorders (PMD-S) provide follow-up. With the exception of walk-in clinics, all clinical settings are associated with GPs who take on PMD-M. No setting was found to be significantly associated with GPs taking on PMD-S. Competency, skills and confidence seem to be core factors in decisions to take on PMD. Group practice models (CLSCs, network clinics) and shared-care initiatives should be encouraged to manage more complex PMD cases.
PB - Longwoods Publishing, Toronto, Canada
PP - Canada
PY - 2010
SN - 1715-6572
SP - 90
EP - 104
EP - 
T1 - Clinical practice settings associated with GPs who take on patients with mental disorders
T2 - Healthcare Policy/Politiques de Sante
TI - Clinical practice settings associated with GPs who take on patients with mental disorders
U1 - General Literature
U2 - 21532772
VL - 5
VO - 1715-6572
Y1 - 2010
ER -