Collaboration Between GPs and Psychologists: Dissatisfaction from the Psychologists’ Perspective—A Cross-Sectional Study

Vergès, Yohann; Driot, Damien; Mesthé, Pierre; Rougé‐Bugat, Marie‐Ève; Dupouy, Julie; Poutrain, Jean-Christophe

doi:10.1007/s10880-019-09663-x

Cited by 8 publications

(8 citation statements)

References 30 publications

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“…This finding is in line with previous research [ 11 , 28 , 29 ]. For example, a recent cross-sectional study on the collaboration between PCPs and psychologists reported that the vast majority of participating psychologists (64%, n = 278) found the cooperation unsatisfactory [ 30 ]. Main problem areas included poor communication and lack of time.…”

Section: Discussionmentioning

confidence: 99%

Depression in primary care and the role of evidence-based guidelines: cross-sectional data from primary care physicians in Germany

Lech

Herrmann

Trautmann

et al. 2022

BMC Health Serv Res

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Background Depression is the most common mental health burden worldwide. Primary care physicians (PCPs) play a key role in the care provision for people with depression. The first objective of the present study was to examine the health care situation of depression in primary care, focusing on the cooperation between PCPs and mental health specialists. Secondly, we aimed at examining the role of the German S3 Guideline for Unipolar Depression in the primary care provision. Methods Data of N = 75 PCPs were analysed from a cross-sectional online survey. Analysis of descriptive information on the current status of primary health care and depression was conducted. Further, to examine factors that are related to the usage of guidelines, multiple regression was performed. Results Only 22.1% of PCPs described the quality of cooperation with ambulatory mental health specialist as good. The most frequent problems in the cooperation were of structural nature (49.3%, long waiting list, few therapy units, as well as barriers in the communication and the information exchange). With regard to the role of the guideline, 65% of PCPs reported never or seldom using the guideline and 31.7% of PCPs perceived the guideline as not useful at all. In addition, perceived usefulness of the S3 guideline was positively associated with the usage of the guideline. Results of the logistic regression revealed a significant association between the usage of the German S3 Guideline for Unipolar Depression and rating of perceived usefulness of the guideline (OR: 4.771; 95% CI: 2.15–10.59; p < 0.001). Conclusion This study highlights the central role of PCPs and demonstrates major barriers in the outpatient health care provision of depression. Present findings suggest a strong need for collaborative health care models to resolve obstacles resulting from fragmented mental health care systems. Finally, reported perceived barriers in the implementation of the German S3 Guideline for Unipolar Depression indicate the urge to involve PCPs in the development of evidence-based guidelines, in order to ensure a successful implementation and usage of guidelines in clinical practice.

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Section: Discussionmentioning

confidence: 99%

Depression in primary care and the role of evidence-based guidelines: cross-sectional data from primary care physicians in Germany

Lech

Herrmann

Trautmann

et al. 2022

BMC Health Serv Res

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“…Another relevant topic is the GPs’ need of further education on work-related stress factors and MHDs, which could, according to recent studies from Germany and the Netherlands, be reached through better interdisciplinary cooperation with other stakeholders, for example occupational physicians or psychotherapists [ 16 – 18 ]. So far there is little information about the collaboration of GPs and other health care professionals in Germany, but data from France and Norway indicate that there is a lack of accessibility, professional exchange and collaboration between GPs and other health care professionals [ 19 , 20 ]. The RTW process in Germany after long-term absence from work is commonly conducted through a gradual return between six weeks and six months, mostly initiated and accompanied by GPs [ 21 ] but in German research, little attention was paid to the strategies the GPs use to determine right time for the RTW of their patients.…”

Section: Background and Aimmentioning

confidence: 99%

Returning-to-work after mental health-associated sick leave: a qualitative interview study exploring the experiences of general practitioners in Germany

Geipel,

Pelizäus,

Hamann

2023

BMC Prim. Care

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Background and aim Psychiatric disorders are increasing globally. Especially when these disorders affect working people, this places a financial burden on society due to long-term sick leave, the incapacity to work and the inability to earn and pay taxes. General practitioners (GPs) are often the first health professionals to be consulted by those suffering from mental health disorders. This study investigated the experiences of GPs regarding their patients with mental health disorders and identified factors that are important for a successful return to work. Methods This qualitative study used semi-structured interviews to explore the opinions of GPs (n = 12) working in Munich, Germany, or its metropolitan area. The interviews were audio-recorded, transcribed, and analyzed using the reflexive thematic analysis method. Results GPs think of themselves as important players in the rehabilitation process of patients with mental health disorders. In their daily routine, they face many obstacles to ensure the best treatment and outcome for their patients. They also suffer from poor collaboration with other stakeholders, such as psychiatric hospitals, therapists or employers. They indicate that the mental health disorder of each patient is unique, including the barriers to and possibilities of a successful return to work. Additionally, the workplace appears to play a crucial role in the success rate of re-entry into work. It can exacerbate the course of mental health disorders or support recovery. Fear, shame and stigmatization of the patients are personal factors responsible for prolonged sick leave. Conclusion We conclude that GPs believe that they can have a major impact on the rehabilitation of patients with mental health disorders. As such, special focus should be placed on supporting them in this context.

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“…Furthermore, the psychiatrist also explained that the disorder could not be cured in 12 weeks by just talking and discussing symptoms. Although collaborations between physicians and psychologists enhance patients' health and the standard of care, 64% of psychologists report that this collaboration is inadequate and unsatisfactory and that physicians lack knowledge of the psychologists' activities (Vergès et al, 2020). It is postulated that if the same collaborative relationship seen in patients is established between healthcare providers, a better exchange of knowledge can occur, which will ultimately benefit the patient and result in a more efficacious therapy.…”

Section: Relationship With Patientsmentioning

confidence: 99%

Exploring women's experiences of treatment for binge eating disorder: Methylphenidate vs. cognitive behavioural therapy

Moghimi

Davis

Bonder

et al. 2022

Progress in Neuro-Psychopharmacology and Biological Psychiatry

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Collaboration Between GPs and Psychologists: Dissatisfaction from the Psychologists’ Perspective—A Cross-Sectional Study

Cited by 8 publications

References 30 publications

Depression in primary care and the role of evidence-based guidelines: cross-sectional data from primary care physicians in Germany

Depression in primary care and the role of evidence-based guidelines: cross-sectional data from primary care physicians in Germany

Returning-to-work after mental health-associated sick leave: a qualitative interview study exploring the experiences of general practitioners in Germany

Exploring women's experiences of treatment for binge eating disorder: Methylphenidate vs. cognitive behavioural therapy

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