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| Formato: | Artículo científico |
| Lenguaje: | es |
| Publicado: |
Universidad Nacional de Lanús
2013
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| Acceso en línea: | https://www.redalyc.org/articulo.oa?id=73129415004 |
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- Desigualdades sociales en la mortalidad por cáncer de cuello de útero en la Ciudad Autónoma de Buenos Aires, 1999-2003 y 2004-2006 María Laura Martínez Carlos Gustavo Guevel Salud health services Mental disorders primary health care The international literature reports different studies on the management of psychiatric disorders (PD) in non-psychiatric settings; however, in Peru the studies are basically focused on the prevalence of PD in general population or in non-psychiatric hospital settings. Objective: To collect information about characteristics and attitudes of General Practitioners (GPs) and patterns in managing patients with possible psychiatric disorders (PD). Material and methods: A survey was administered to 73 physicians working in general medical outpatient settings in three hospitals in Lima-Peru. Results: 23% of GPs received post- graduate psychiatry update courses, 56% felt confident in their ability to diagnose a patient with a PD, 82% reported interest in their medical management, and 66% felt capable of helping them. As their usual practice, 37% reported performing a mental status examination (MSE), 48% asking about sexual issues, and 37% about personal and family history of PD. Confidence in their diagnosis was significantly higher in male GPs and attendings, but interest in the management was higher in females. Post-graduate psychiatric update was significantly associated with confidence in diagnosing PD, asking about psychiatric history and sexual health, and performing MSE. Most frequently seen PD listed were: depression, unexplained somatic complaints, and anxiety disorders. Most frequently prescribed psychotropics listed were: hypnotics/sedatives; tonics, vitamins, and herbs; and antidepressants, particularly tricyclics. If a diagnosis of PD was made, 93% referred the patients to a psychiatrist. Conclusions: Factors related to the GPs may influence the patterns of care of psychiatric patients in primary care. 2013 artículo científico 1669-2381 https://www.redalyc.org/articulo.oa?id=73129415004 es http://www.redalyc.org/revista.oa?id=731 Salud Colectiva application/pdf Universidad Nacional de Lanús Salud Colectiva (Argentina) Num.2 Vol.9