[Hardnekkige aanhoudende lichamelijke klachten in de huisartsenpraktijk].
| Autor: | Rutten S, Hulscher M, Boeschoten RE, Keuning I, van Eck van der Sluijs JF, Rikkers M, den Boer C, Maarseveen J, Olde Hartman T, Tak LM |
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| Jazyk: | Dutch; Flemish |
| Zdroj: | Tijdschrift voor psychiatrie [Tijdschr Psychiatr] 2024; Vol. 66 (4), pp. 195-201. |
| Abstrakt: | Background: In the care of patients with persevering (‘treatment-resistant’) persistant physical symptoms (PPS), problems are common. With this study, we want to identify starting points for improvement of care, including suggestions for the role of mental health care. Aim: Using the profile for persevering PPS we will estimate the prevalence, describe characteristics of this patient group and map problems encountered in their care. Method: Online survey in general practitioners (GPs). Results: The response rate to the survey was 12.8%. The mean estimated prevalence of persevering PPS in general practice was 0.7% (corresponding to an estimated 122,500 patients throughout the Netherlands). Many patients encountered iatrogenic harm, experience societal problems and limitations in mobility and ADL independence. Although there was a general increased use of health care in these patients, some also avoided care or were under-treated. In the persistence of symptoms, patient-related factors played a role (like insisting on further somatic diagnostic tests, lack of motivation for PPS-specific treatment), but health-care related factors, like rejection for care or a lack of regional treatment options for patients with PPS, also had a causal role. Conclusion: Almost every GP experiences problems in the care for patients with persevering PPS. Mental health care professionals can support the GP better, by optimizing options for consultation and referral. |
| Databáze: | MEDLINE |
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