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General practitioners' opinions on how to improve treatment of mental disorders in primary health care. Interviews with one hundred Norwegian general practitioners

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dc.contributor.author Mykletun, Arnstein
dc.contributor.author Knudsen, Ann Kristin
dc.contributor.author Tangen, Tone
dc.contributor.author Øverland, Simon Nygaard
dc.date.accessioned 2011-04-29T06:37:01Z
dc.date.available 2011-04-29T06:37:01Z
dc.date.issued 2010-02-09
dc.identifier.citation BMC Health Services Research 10:35 en_US
dc.identifier.issn 1472-6963
dc.identifier.uri http://dx.doi.org/10.1186/1472-6963-10-35
dc.identifier.uri http://hdl.handle.net/1956/4713
dc.description.abstract Background Improvements in treatment of mental disorders are repeatedly called for. General practitioners (GPs) are responsible for the majority of treatment of mental disorders. Consequently, we interviewed GPs about their opinions on how treatment of mental disorders in primary health care contexts could be improved. Methods Among GPs affiliated within the Norwegian reimbursement system, we approached 353, and made contact with 246 GP's. One-hundred of these agreed to participate in our study, and 95 of them expressed opinions on how to improve treatment of mental disorders. The telephone interviews were based on open-ended questions, responses were transcribed continuously, and content analysis was applied. Results are presented both as frequency tables of common responses, and as qualitative descriptions and quotations of opinions. Results Nearly all (95%) of the GPs had suggestions on how to improve treatment of mental disorders in primary health care. Increased capacity in secondary health care was suggested by 59% of GPs. Suggestions of improved collaboration with secondary health care were also common (57%), as were improvements of GPs' skills and knowledge relevant for diagnosing and treating mental disorders (40%) and more time for patients with mental disorders in GP contexts (40%). Conclusions The GPs' suggestions are in line with international research and debate. It is thought-provoking that the majority of GPs call for increased capacity in secondary care, and also better collaboration with secondary care. Some GPs made comparisons to the health care system for physical disorders, which is described as better-functioning. Our study identified no simple short-term cost-effective interventions likely to improve treatment for mental disorders within primary health care. Under-treatment of mental disorders is, however, also associated with significant financial burdens. en_US
dc.language.iso eng en_US
dc.publisher BioMed Central en
dc.rights Copyright 2010 Mykletun et al; licensee BioMed Central Ltd. en_US
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_US
dc.title General practitioners' opinions on how to improve treatment of mental disorders in primary health care. Interviews with one hundred Norwegian general practitioners en_US
dc.type Peer reviewed en_US
dc.type Journal article en_US
dc.rightsHolder Mykletun et al. en_US
dc.type.version publishedVersion en_US
bora.cristinID 340712


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Copyright 2010 Mykletun et al; licensee BioMed Central Ltd. Except where otherwise noted, this item's license is described as Copyright 2010 Mykletun et al; licensee BioMed Central Ltd.

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