Saúde mental em medicina geral familiar – Obstáculos e expectativas percecionados pelos médicos de família

Translated title of the contribution: Mental health in general family medicine – Obstacles and expectations perceived by family physicians

Liliana Gil Fernandes, Nuno Basílio, Sofia Figueira, José Mendes Nunes

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

This study seeks to understand the difficulties experienced by family physicians (FP) in the management of mental disorders (MD) and their proposals to improve the quality of care. It is qualitative study with semi-structured interviews with ten family physicians. These were recorded, transcribed and their content analyzed. Eight thematic categories were identified: perceived working conditions and available resources; perceived level of training in mental health; therapies used for treatment of MD; mental health instruments used in consultation; MD addressed in Primary Health Care (PHC) and referral to hospitals; patient’s reaction to referral; articulation of PHC with hospitals; proposals to improve mental health care in PHC. Articulation with the Mental Health Services suffers from lack of accessibility, one-way communication and delayed response. The FP propose creation of consultancies; multidisciplinary teams in the community; creating a two-way communication platform; continuous learning through discussion of cases. The FP have responsibilities in providing MHC. This requires working in a multidisciplinary team. Services should be organized to function as a learning system that allows the progressive improvement of the professionals and the improvement of the interfaces between them.

Translated title of the contributionMental health in general family medicine – Obstacles and expectations perceived by family physicians
Original languagePortuguese
Pages (from-to)797-805
Number of pages9
JournalCiência & Saúde Coletiva
Volume22
Issue number3
DOIs
Publication statusPublished - 2017

Keywords

  • Mental health
  • Ongoing medical education
  • Primary health care

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