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Article: Reasons for preferring a primary care physician for care if depressed

TitleReasons for preferring a primary care physician for care if depressed
Authors
Issue Date2011
PublisherSociety of Teachers of Family Medicine. The Journal's web site is located at http://www.stfm.org/publications/familymedicine/index.cfm
Citation
Family Medicine, 2011, v. 43 n. 5, p. 344-350 How to Cite?
AbstractBACKGROUND: Most studies showed that patients would first go to their primary care physicians (PCPs) when depressed. This choice is probably due to PCP being the entry point into the health care system. We studied the general population's initial choice of mental care in Hong Kong, where patients were unclear about family medicine and free to choose doctors of any specialty. METHODS: A combined qualitative and quantitative approach was adopted. We held focus groups with participants recruited from community centers and a telephone survey with adults ages 18 or above randomly selected from the domestic telephone directory. RESULTS: Of 1,647 adults successfully interviewed, 49.0% would seek help from their regular PCP, 19.3% from psychiatrists, 4.8% from any doctors, 16.5% from non-medical resources; 6.9% would not seek any help, and 3.5% were uncertain of what to do. Those who did not seek any help were more likely to be male or without regular doctors. The focus group participants highlighted the stigmatizing effect of consulting psychiatrists and expressed strong expectation of empathic relationship, time, and communication skills from their care providers. Some participants were not aware that PCP could manage mental illness. CONCLUSIONS: Given free choice of health care service, most people would first consult their regular doctors for treatment of depression specifically because of better relationship and no stigmatization. To draw depressed patients to seek help, especially from primary care, public education of the PCPs role in mental health should be promoted, and the PCPs could demonstrate their empathy and listening skills to patients.
Persistent Identifierhttp://hdl.handle.net/10722/134433
ISSN
2023 Impact Factor: 1.8
2023 SCImago Journal Rankings: 0.509
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWun, YTen_HK
dc.contributor.authorLam, TPen_HK
dc.contributor.authorGoldberg, Den_HK
dc.contributor.authorLam, KFen_HK
dc.contributor.authorLi, KTDen_HK
dc.contributor.authorYip, KCen_HK
dc.date.accessioned2011-06-17T09:20:25Z-
dc.date.available2011-06-17T09:20:25Z-
dc.date.issued2011en_HK
dc.identifier.citationFamily Medicine, 2011, v. 43 n. 5, p. 344-350en_HK
dc.identifier.issn0742-3225en_HK
dc.identifier.urihttp://hdl.handle.net/10722/134433-
dc.description.abstractBACKGROUND: Most studies showed that patients would first go to their primary care physicians (PCPs) when depressed. This choice is probably due to PCP being the entry point into the health care system. We studied the general population's initial choice of mental care in Hong Kong, where patients were unclear about family medicine and free to choose doctors of any specialty. METHODS: A combined qualitative and quantitative approach was adopted. We held focus groups with participants recruited from community centers and a telephone survey with adults ages 18 or above randomly selected from the domestic telephone directory. RESULTS: Of 1,647 adults successfully interviewed, 49.0% would seek help from their regular PCP, 19.3% from psychiatrists, 4.8% from any doctors, 16.5% from non-medical resources; 6.9% would not seek any help, and 3.5% were uncertain of what to do. Those who did not seek any help were more likely to be male or without regular doctors. The focus group participants highlighted the stigmatizing effect of consulting psychiatrists and expressed strong expectation of empathic relationship, time, and communication skills from their care providers. Some participants were not aware that PCP could manage mental illness. CONCLUSIONS: Given free choice of health care service, most people would first consult their regular doctors for treatment of depression specifically because of better relationship and no stigmatization. To draw depressed patients to seek help, especially from primary care, public education of the PCPs role in mental health should be promoted, and the PCPs could demonstrate their empathy and listening skills to patients.en_HK
dc.languageengen_US
dc.publisherSociety of Teachers of Family Medicine. The Journal's web site is located at http://www.stfm.org/publications/familymedicine/index.cfm en_HK
dc.relation.ispartofFamily Medicineen_HK
dc.subject.meshChoice Behavior-
dc.subject.meshDepressive Disorder - psychology - therapy-
dc.subject.meshHealth Knowledge, Attitudes, Practice-
dc.subject.meshPatient Preference - psychology-
dc.subject.meshPhysicians, Primary Care-
dc.titleReasons for preferring a primary care physician for care if depresseden_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0742-3225&volume=43&issue=5&spage=344&epage=350&date=2011&atitle=Reasons+for+preferring+a+primary+care+physician+for+care+if+depressed-
dc.identifier.emailLam, TP: tplam@hku.hken_HK
dc.identifier.emailLam, KF: hrntlkf@hkucc.hku.hken_HK
dc.identifier.authorityLam, TP=rp00386en_HK
dc.identifier.authorityLam, KF=rp00718en_HK
dc.description.naturelink_to_OA_fulltext-
dc.identifier.pmid21557105-
dc.identifier.scopuseid_2-s2.0-79955936653en_HK
dc.identifier.hkuros185868en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79955936653&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume43en_HK
dc.identifier.issue5en_HK
dc.identifier.spage344en_HK
dc.identifier.epage350en_HK
dc.identifier.isiWOS:000306197700008-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridWun, YT=6701795798en_HK
dc.identifier.scopusauthoridLam, TP=55232643600en_HK
dc.identifier.scopusauthoridGoldberg, D=7401442597en_HK
dc.identifier.scopusauthoridLam, KF=8948421200en_HK
dc.identifier.scopusauthoridLi, KTD=38662707600en_HK
dc.identifier.scopusauthoridYip, KC=28168097100en_HK
dc.identifier.issnl0742-3225-

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