Knowledge and attitudes of doctors regarding the provision of mental health care in Doddaballapur Taluk, Bangalore Rural district, Karnataka.

Knowledge and attitudes of doctors regarding the provision of mental health care in Doddaballapur Taluk, Bangalore Rural district, Karnataka.
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有关医生在卡纳塔克邦班加罗尔农村地区提供精神卫生保健的医生知识和态度。

DOI:
10.1186/1752-4458-6-21
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发表时间:
2012-09-21
影响因子:
3.6
通讯作者:
Armstrong G
Armstrong G
中科院分区:
医学3区
文献类型:
--
作者:
Cowan J;Raja S;Naik A;Armstrong G

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专业的精神卫生保健对大多数印度人来说是遥不可及的。世界卫生组织呼吁将心理健康纳入初级卫生保健,作为缩小治疗差距的关键战略。然而,印度很少有研究调查医生的心理健康相关知识和态度。这项研究调查了在印度南部卡纳塔克邦农村地区提供初级卫生保健的医生提供服务的这些方面。参与者自行填写心理健康知识与态度问卷。问卷由四个部分组成;1)基本人口统计和实践信息,2)心理健康培训,3)心理健康知识和提供心理健康服务的自我感知能力,以及4)对心理健康的态度。对数据进行定量分析,主要使用描述性统计。这项研究招募了46名参与者。大多数参与者(69.6%)认为自己有能力为病人提供精神卫生服务。但是,有几项反映消极态度的发言获得了相当程度的赞同。几乎三分之一的参与者(28.0%)没有接受过提供精神保健方面的任何培训。虽然四分之三的参与者在小短文中正确识别出抑郁症(76.1%)和精神病(76.1%),但能够说出抑郁症(50.0%)和精神病(28.3%)的三种常见体征和症状的人较少。将精神卫生纳入初级卫生保健需要基于证据的技能提升规划。参与这项研究的医生希望得到这种培训,并将从中受益,重点是深入了解知识,并揭露对精神健康问题患者的污名化态度。
Specialist mental health care is out of reach for most Indians. The World Health Organisation has called for the integration of mental health into primary health care as a key strategy in closing the treatment gap. However, few studies in India have examined medical practitioners’ mental health-related knowledge and attitudes. This study examined these facets of service provision amongst doctors providing primary health care in a rural area of Karnataka is Southern India. A mental health knowledge and attitudes questionnaire was self- administered by participants. The questionnaire consisted of four sections; 1) basic demographics and practice information, 2) training in mental health, 3) knowledge of mental health, and self-perceived competence in providing mental health care, and 4) attitudes towards mental health. Data was analysed quantitatively, primarily using descriptive statistics. This study recruited 46 participants. The majority of participants (69.6%) felt competent in providing mental health services to their patients. However, there was a substantial level of endorsement for several statements that reflected negative attitudes. Almost one third of participants (28.0%) had not received any training in providing mental health care. Whilst three-quarters of participants correctly identified depression (76.1%) and psychosis (76.1%) in a vignette, fewer were able to name three common signs and symptoms of depression (50.0%) and psychosis (28.3%). Integrating mental health into primary health care requires evidence-based up-skilling programs. Doctors in this study desired such training and would benefit from it, with a focus on both depth of knowledge and uncovering stigmatising attitudes towards people with mental health problems.
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