Lester, Helen, Tritter, Jonathan Q. and Sorohan, Helen (2005) Patients' and health professionals' views on primary care for people with serious mental illness : focus group study. BMJ, Vol.330 (No.7500). 1122-1126B. doi:10.1136/bmj.38440.418426.8F ISSN 0959-8146.

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Abstract

Objective To explore the experience of providing and receiving primary care from the perspectives of primary care health professionals and patients with serious mental illness respectively.

Design Qualitative study consisting of six patient groups, six health professional groups, and six combined focus groups.

Setting Six primary care trusts in the West Midlands.

Participants Forty five patients with serious mental illness, 39 general practitioners (GPs), and eight practice nurses.

Results Most health professionals felt that the care of people with serious mental illness was too specialised for primary care. However, most patients viewed primary care as the cornerstone of their health care and prefer-red to consult their own GP, who listened and was willing to learn, rather than be referred to a different,GP with specific mental health knowledge. Swift access was important to patients, with barriers created by the effects of the illness and the noisy or crowded waiting area. Some patients described how they exaggerated symptoms ("acted up") to negotiate an urgent appointment, a strategy that was also employed by some GPs to facilitate admission to secondary care. Most participants felt that structured reviews of care had value. However, whereas health professionals perceived serious mental illness as a lifelong condition, patients emphasised the importance of optimism in treatment and hope for recovery.

Conclusions Primary care is of central importance to people with serious mental illness. The challenge for health professionals and patients is to create a system in which patients can see a health professional when they want to without needing to exaggerate their symptoms. The importance that patients attach to optimism in treatment, continuity of care, and listening skills compared with specific mental health knowledge should encourage health professionals in primary care to play a greater role in the care of patients with serious mental illness.

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine
Divisions:	Faculty of Social Sciences > Warwick Business School
Library of Congress Subject Headings (LCSH):	Primary care (Medicine) -- Great Britain, Mentally ill -- Care -- Great Britain, Physicians (General practice) -- Great Britain
Journal or Publication Title:	BMJ
Publisher:	BMJ Group
ISSN:	0959-8146
Official Date:	20 April 2005
Dates:	Date Event 20 April 2005 Published
Volume:	Vol.330
Number:	No.7500
Number of Pages:	8
Page Range:	1122-1126B
DOI:	10.1136/bmj.38440.418426.8F
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Funder:	Great Britain. Dept. of Health (DoH)

Data sourced from Thomson Reuters' Web of Knowledge

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