[Psychosomatic research in primary health care--ideal concept and reality].
The cooperation between research institutions and primary care doctors can be seen as a possible model for practical research in psychosomatic medicine. Cooperation experience with a study in the field of sexual medicine are reported as well as recommendations regarding the planning and implementation of similar studies are given. 7455 Swiss physicians specialized in psychiatry, internal or general medicine were asked to fill out a survey on "sexual dysfunction and anti-depressants". They were also asked if they were willing to interview their patients on the same issue. 1100 physicians agreed to answer the doctors survey and 62 were interested in interviewing their patients. However, only 12 physicians actually did. In 55 telephone interviews doctors mentioned as their main reasons for not participating: lack of time and their hesitation to discuss sexual issues with depressive patients.


CONCLUSIONS
The collaboration in research projects means a considerable effort on the side of primary care doctors. Therefore, their cooperation should be rewarded appropriately, e.g. time could be counted as further training.
Abteilung für Psychosoziale Medizin, Universitätsspital Zürich. lutz.goetzmann@psy.usz.ch
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Götzmann
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Dutta
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Scheuer
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Buddeberg
D000047:Academies and Institutes; D000928:Antidepressive Agents / Q000009:adverse effects* / Q000627:therapeutic use; D001291:Attitude of Health Personnel; D003866:Depressive Disorder / Q000188:drug therapy / Q000453:epidemiology; D005194:Family Practice; D006306:Health Surveys; D006801:Humans; D010348:Patient Care Team; D010819:Physician's Role; D011320:Primary Health Care; D012735:Sexual Dysfunction, Physiological / Q000139:chemically induced* / Q000453:epidemiology; D013557:Switzerland
D000928:Antidepressive Agents