[Role of the general practitioner in outpatient care for schizophrenic patients from the patients' perspective]

Psychiatr Prax. 2008 May;35(4):194-7. doi: 10.1055/s-2007-986286.
[Article in German]

Abstract

Objective: To explore the view of schizophrenic patients regarding the role of general practitioners (GPs) in outpatient psychiatric care.

Methods: Semi-structured interviews with 20 schizophrenic patients were tape-recorded. Using the software Atlas.ti, the data were analysed according to the model of inductive category development (Mayring, 1995).

Results: Nearly all patients regarded the GPs as doctors "for the body" and--in contrast--the psychiatrists as doctors "for the soul". At the same time, an appointment with a GP was perceived as less embarrassing and stigmatising. Patients consulted their GP mainly because of somatic complaints or to receive follow-up prescriptions for their antipsychotic medication. They liked to get a "second opinion" regarding medical decisions by GPs. Some patients wished to have more consultation time with their GP to discuss psychological problems.

Conclusions: Schizophrenic patients appreciate the distinction, and the choice, between different medical specialties. Primary care offers services with an exceptionally low threshold for schizophrenic patients because consultations with a GP are to a lesser degree perceived as embarrassing or stigmatising.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Ambulatory Care*
  • Antipsychotic Agents / therapeutic use
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Care Team
  • Patient Satisfaction*
  • Physician's Role*
  • Physician-Patient Relations*
  • Physicians, Family*
  • Psychotherapy
  • Referral and Consultation
  • Schizophrenia / rehabilitation*

Substances

  • Antipsychotic Agents