Table 2.
General practitioner (GP) characteristics and aspects of their interprofessional collaboration
GP characteristics | |
---|---|
Clinical characteristics | |
GPs’ age (years), mean (SD) | 48(9) |
Hours spent on duty per week, mean (SD) | 43 (13) |
Number of practice places, mean (SD) | 2(1) |
Number of patients seen in a week for any reason, mean % (SD) | 90 (42) |
Proportion of medical consultations related to mental disorders, mean % (SD) | 25 (19) |
Proportion of patients with common mental disorders among GP patients with mental disorders, not including concurrent diagnosis (i.e. depression and/or anxiety disorders, adaptation disorders, personality disorders, substance abuse), mean % (SD) | 54.7 (25) |
Proportion of patients with serious mental disorders diagnosed among GP patients with mental disorders, not including concurrent diagnosis (i.e. schizophrenia, bipolar disorder), mean % (SD) | 11.7 (13) |
Proportion of patients with concurrent diagnosis among patients with mental disorders seen by GP patients, mean % (SD): | |
patients with mental disorders and substance abuse | 9.8 (11) |
patients with mental disorders and somatic problems | 19.4 (19) |
patients with mental disorders and intellectual deficiency | 4.2 (7) |
Proportion of patients with common mental disorders taken on, mean % (SD) | 69 (33) |
Proportion of patients with common mental disorders taken on by GPs for, mean % (SD): | |
medication follow-up | 61.1 (37) |
supportive therapy | 59 (37) |
psychotherapy | 17.2 (29) |
Number of times GPs received their patients with common mental disorders annually, mean (SD) | 8.9 (6) |
Number of patients visiting GPs per week for mental disorders, mean | 23 |
GPs’ interprofessional collaboration | |
Number of patients referred to other resources (among patients visiting GPs per week for mental disorders), mean (SD) | 3 (3) |
Proportion of patients with common mental disorders referred to other resources (among patients visiting GPs per week with mental disorders) mean % (SD) | 17.22 (16) |
Proportion of GPs who refer their patients with common mental disorders for, %: | |
advice on medication | 70.7 |
diagnostic evaluation | 62.7 |
Proportion of GPs who transfer patients with mental disorders for, %: | |
severity of the disorder | 94 |
case complexity | 93 |
lack of support from psychiatrists | 63 |
insufficient mental health expertise | 59 |
lack of interest in mental health | 12 |
insufficient financial incentives | 12 |
Proportion of patients with common mental disorders referred by GPs per week to, mean % (SD): | |
psychiatric services | 13 (23) |
psychologists in private practice | 31 (31) |
CLSC mental health services | 20 (26) |
voluntary sector | 3 (10) |
GPs’ perception of mental healthcare system, % | |
The overall quality of the mental healthcare system is adequate or very adequate | 55.0 |
Geographical accessibility is adequate or very adequate | 64.0 |
Opening hours are adequate or very adequate | 59.0 |
Service diversity is adequate or very adequate | 54.0 |
Service continuity is adequate or very adequate | 46.0 |
Service availability is adequate or very adequate | 35.0 |
Accessibility of mental health professionals is adequate or very adequate | 27.0 |
Average days of waiting time for access to psychiatry, mean (SD) | 60 (45) |