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Fazekas, C; Matzer, F; Greimel, ER; Moser, G; Stelzig, M; Langewitz, W; Loewe, B; Pieringer, W; Jandl-Jager, E.
Psychosomatic medicine in primary care: influence of training.
Wien Klin Wochenschr. 2009; 121(13-14): 446-453. Doi: 10.1007/s00508-009-1176-9
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Leading authors Med Uni Graz
Fazekas Christian
Co-authors Med Uni Graz
Greimel Elfriede Renate
Matzer Franziska
Pieringer Walter

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BACKGROUND: General practitioners (GPs) are often confronted with patients presenting somatic symptoms presumed to be decisively modulated by psychosocial factors. OBJECTIVES: We aimed to explore GPs' reported clinical routine in dealing with these patients according to the GPs' level of training in psychosomatic medicine. METHODS: A structured postal questionnaire survey was conducted among all Austrian GPs with a standardized training background in psychosomatic medicine (three levels of training; duration between one and six years) as well as in a random national sample of Austrian GPs without such training, resulting in four study subgroups. RESULTS: Respondents estimated that between 20% and 40% of their patients presenting somatic symptoms need psychosocial factors to be addressed. Study subgroups differed significantly concerning their reported diagnostic and therapeutic routine behavior patterns. Some diagnostic approaches such as clarification of lay etiology increased linearly with the level of training. The proportion of patients receiving corresponding treatment in the GP's own practice was also reported to increase with the level of training (no training: 35%, levels one and two: 46%, level three: 54%), although all subgroups estimated that over 20% of patients do not receive any corresponding treatment. CONCLUSIONS: Results point at the clinical relevance of a general training in psychosomatic medicine in primary care. They also suggest specific training effects that need to be substantiated in observational studies.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Adult -
Education, Medical, Continuing -
Family Practice - education
Female -
Follow-Up Studies -
Humans -
Interviews as Topic -
Male -
Middle Aged -
Physician's Practice Patterns -
Primary Health Care -
Psychosomatic Medicine - education
Questionnaires -
Time Factors -

Find related publications in this database (Keywords)
Primary care
psychosomatic medicine
continuing medical education
clinical practice patterns
questionnaire study
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