プライマリ・ケアにおける心身医学的考慮の必要性と問題点(プライマリ・ケアと心身医学)

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Psychosomatic consideration is essential in the problem of primary care. The present status of medicine in our country does not allow full recognition of this problem. In this paper, we presented actual data and information in order to show how unfortunate situation could be induced when doctors were lacking in psychosomatic compatibility and considerations. It is common that patients were not given sufficient explanation by their doctors at the time of their first consulation. This tendency was particularly maked in those with unsettled complaints and psychosomatic disorders. Of these patients, about 25% were given only madication without any explanation, and 24% were told that nothing was wrong in particular. Among those who were considered normal, many did not improve, wandering from one doctor to another. At any rate, about 70% of these cases said that they were not satisfied with the kind of ecplanation which was given at their intial contact with their doctors. In addition, in 11% of the cases, patients had the impression that their anxiety was increased and their symptoms aggravated due to careless explanations of doctors at time of their first visit. The theme of primary care still hold unsolved problems such as that 1) only 20% of general physicians examine their patients having depressive reactions on their mind which are often found in their daily practice, 2) as many as 51% of doctors give psychotropic drugs to the patients with multiple and obstinate complaints without inquiring about them in them in detail and 3) Such indiscreet administration of drugs can sometimes distort the disease state and even produce habituation on the part of the patients.
日本心身医学会の論文
1980-12-01

プライマリ・ケアにおける心身医学的考慮の必要性と問題点(プライマリ・ケアと心身医学)

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