Demand and supply for psychological help in general practice in different European countries: access to primary mental health care in six European countries

European Journal of Public Health
Peter F M VerhaakL Gask

Abstract

The general practitioner is usually the first health care contact for mental problems. The position of a general practitioner may vary between health care systems, depending on the referral system (gatekeepers versus directly accessible specialists), presence of fixed lists and the payment system. This may influence patients' expectations and requests for help and GPs' performance. In this paper the effects of working in different health care systems on demand and supply for psychological help were examined. Data were collected in six European countries with different health care system characteristics (Belgium, Germany, The Netherlands, Spain, Switzerland and the UK). For 15 consecutive contacts with 190 GPs in the six countries, each patient completed questionnaires concerning reason for visit and expectations (before) and evaluation (after consultation). General practitioners completed registration forms on each consultation, indicating familiarity with the patient and diagnosis. General practitioners completed a general questionnaire about their personal and professional characteristics as well. Practices in different countries differed considerably in the proportion of psychological reasons for the visit by the patient and...Continue Reading

Citations

Sep 4, 2013·Family Practice·Ies DijksmanMark G Spigt
Mar 17, 2010·BMC Health Services Research·Dionne S KringosPeter P Groenewegen
Jul 31, 2014·Family Practice·Erik TeunissenChris van Weel
Aug 12, 2009·Chronic Illness·Manuel GirónManuel Gómez-Beneyto
Jul 27, 2006·Journal of Advanced Nursing·Elizabeth J HalcombPatricia M Davidson
Dec 17, 2009·International Journal of Methods in Psychiatric Research·Christopher G Hudson
Jul 22, 2019·Postgraduate Medical Journal·Diane MillerAnthony M Paget
May 21, 2010·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Raymond TempierViviane Kovess-Masféty
Nov 16, 2011·Women & Health·Bosiljka DjikanovicAntoine Lagro-Janssen

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