General practice encounters for psychological problems in rural, remote and metropolitan areas in Australia

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dc.contributor.author Caldwell, TM
dc.contributor.author Jorm, AF
dc.contributor.author Knox, SA
dc.contributor.author Braddock, D
dc.contributor.author Dear, KB
dc.contributor.author Britt, H
dc.date.accessioned 2010-05-28T09:50:46Z
dc.date.issued 2004-01
dc.identifier.citation Australian And New Zealand Journal Of Psychiatry, 2004, 38 (10), pp. 774 - 780
dc.identifier.issn 0004-8674
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/9613
dc.description.abstract Previous Australian research suggests there is very little difference in the prevalence of mental health disorders across rural, remote and metropolitan areas. However, mental health specialists are particularly scarce in rural and remote areas and some researchers have argued that non-metropolitan residents rely heavily on general practitioners (GPs) for mental health care. This article investigated rates of GP services for psychological problems across rural, remote and metropolitan areas.The Bettering the Evaluation and Care of Health (BEACH) program, Medicare and Pharmaceutical Benefits Scheme data were used in this report. Data included all psychological, depression and anxiety problems reported as managed by GPs and prescriptions for mental health medications (written and filled). Problem and medication rates are given per 100 patient encounters and per 1000 population.Only a few regional differences were evident in the rate of psychological problems and prescriptions for mental health medications per 100 GP-patient encounters. However, rural and remote residents visited GPs less frequently than their metropolitan counterparts. Lower rates of GP encounters for psychological problems were evident for residents of most non-metropolitan areas (per 1000 population). Additionally, GPs prescribed mental health medications at half the rate for residents of remote areas than capital cities.General practitioners provide fewer mental health services per capita in non-metropolitan areas. This difference could represent completely untreated psychological problems or fewer follow-up consultations. While non-metropolitan residents have limited access to specialists, rates of GP encounters for psychological problems are also very low.
dc.publisher Blackwell Publishing Ltd
dc.relation.isbasedon 10.1080/j.1440-1614.2004.01461.x
dc.subject depression, general practice, mental health services, mental health, rural., Psychiatry
dc.subject depression, general practice, mental health services, mental health, rural.; Psychiatry
dc.title General practice encounters for psychological problems in rural, remote and metropolitan areas in Australia
dc.type Journal Article
dc.parent Australian And New Zealand Journal Of Psychiatry
dc.journal.volume 10
dc.journal.volume 38
dc.journal.number 10 en_US
dc.publocation Oxford, UK en_US
dc.identifier.startpage 774 en_US
dc.identifier.endpage 780 en_US
dc.cauo.name BUS.Centre for Health Economics Research and Evaluation en_US
dc.conference Verified OK en_US
dc.for 1103 Clinical Sciences
dc.personcode 0000045707 en_US
dc.personcode 0000045708 en_US
dc.personcode 998486 en_US
dc.personcode 0000045709 en_US
dc.personcode 0000045710 en_US
dc.personcode 0000042982 en_US
dc.percentage 100 en_US
dc.classification.name Clinical Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords depression, general practice, mental health services, mental health, rural. en_US
dc.description.keywords depression, general practice, mental health services, mental health, rural.
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Business
pubs.organisational-group /University of Technology Sydney/Strength - Health Economics and Research Evaluation


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