Should mental health issues be addressed in primary care, and can it be done? Views of rural general practitioners in Queensland.
OBJECTIVE
The aim of this paper was to examine self-efficacy and perceived appropriateness among rural general practitioners (GPs) in regards to screening and intervention for physical, lifestyle and mental health issues.


METHODS
Fifty GPs from 25 practices in eight rural Queensland towns completed a written survey designed for the study.


RESULTS
General practitioners rated opportunistic screening or assessment for smoking and for detection of relapse of mental disorders as the most appropriate, with even cardiovascular and diabetes risk falling behind these. Self-efficacy was highest for medical disorders for smoking assessment. It was significantly lower for alcohol, mental health issues, and addressing risks of physical disorder in people with mental disorders.


CONCLUSIONS
High appropriateness ratings suggest that current strategies to boost self-efficacy of GPs in addressing mental health issues are timely.
Sturk
Heidi
H
School of Medicine, University of Queensland, Herston, QLD, Australia. h.sturk@uq.edu.au
Kavanagh
David
D
Gallois
Cindy
C
King
David
D
Turpin
Merrill
M
King
Robert
R
Bartlett
Helen
H
D000328:Adult; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008019:Life Style; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000628:therapy; D008605:Mental Health Services; D008875:Middle Aged; D010821:Physicians, Family; D011320:Primary Health Care; D011793:Queensland; D019035:Rural Health Services; D020377:Self Efficacy