[Role of the general practitioner in outpatient care for schizophrenic patients from the patients' perspective].
OBJECTIVE
To explore the view of schizophrenic patients regarding the role of general practitioners (GPs) in outpatient psychiatric care.


METHODS
Semi-structured interviews with 20 schizophrenic patients were tape-recorded. Using the software Atlas.ti, the data were analysed according to the model of inductive category development (Mayring, 1995).


RESULTS
Nearly all patients regarded the GPs as doctors "for the body" and--in contrast--the psychiatrists as doctors "for the soul". At the same time, an appointment with a GP was perceived as less embarrassing and stigmatising. Patients consulted their GP mainly because of somatic complaints or to receive follow-up prescriptions for their antipsychotic medication. They liked to get a "second opinion" regarding medical decisions by GPs. Some patients wished to have more consultation time with their GP to discuss psychological problems.


CONCLUSIONS
Schizophrenic patients appreciate the distinction, and the choice, between different medical specialties. Primary care offers services with an exceptionally low threshold for schizophrenic patients because consultations with a GP are to a lesser degree perceived as embarrassing or stigmatising.
Abteilung Allgemeinmedizin, Universitätsmedizin Göttingen, Georg-August-Universität.
Anja
A
Rogausch
Anja
A
Kapmeyer
Anke
A
Tenbieg
Wolfgang
W
Himmel
D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D014150:Antipsychotic Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D017060:Patient Satisfaction; D010819:Physician's Role; D010817:Physician-Patient Relations; D010821:Physicians, Family; D011613:Psychotherapy; D012017:Referral and Consultation; D012559:Schizophrenia / Q000534:rehabilitation*
D014150:Antipsychotic Agents