Volume : 08, Issue : 11, November – 2021

Title:

32.IMPACT OF PHYSICIAN’S CHARACTERISTICS TOWARDS PSYCHIATRIC ASSESSMENT, A CROSS-SECTIONAL STUDY AMONG FAMILY MEDICINE RESIDENTS IN RIYADH, SAUDI ARABIA

Authors :

Abdullah Alfaifi, Abdullah Almohaimeed, Ahmad Alanizi, Ibrahem Aldawood

Abstract :

Background: Family medicine physicians are serving a useful role in providing psychiatric treatment to many of their patients. In fact, family physicians become the primary psychiatric care physicians (PPCPs) for many of their patients. There are many factors that affect physician’s beliefs toward psychiatric assessment. Therefore, in this study we will determine the effect of physician’s gender knowledge, and beliefs towards psychiatric assessment.
Objective: To assess the impact of physician’s gender, knowledge, and beliefs on psychiatric assessment among family medicine residents in Riyadh
Method: A cross-sectional study using the Physician Belief Scale (PBS) will be conducted on Family medicine residents in Riyadh. Data will be collected from March 2020 until April 2021 through a self-reported questionnaire. Statistical software package state will be used for data entry and analysis at a significance level of < 0.05.
Result: There was no statistically significant difference when measuring physician’s knowledge and beliefs on psychiatric assessment in regards to the physician’s characteristics.
Conclusion and recommendation
Family physicians must collaborate with psychiatric professionals in order to provide effective services. Moreover, family physicians should receive more education about mental health, and effective communication should be encouraged in order to deliver better care to psychiatric patients in primary healthcare settings.
Key words: physician’s gender, psychiatric assessment, Riyadh- Saudi Arabia.

Cite This Article:

Please cite this article in press Ahmad Alanizi et al, Impact Of Physician’s Characteristics Towards Psychiatric Assessment, A Cross-Sectional Study Among Family Medicine Residents In Riyadh, Saudi Arabia, Indo Am. J. P. Sci, 2021; 08(11).

Number of Downloads : 10

References:

1. Kates N, Craven M, Bishop J, Clinton T, Kraftcheck D, LeClair K, et al. Shared Mental Health Care in Canada. Can J Psychiatry [Internet]. 1997 Oct 1;42(8):i–xii. Available from: https://doi.org/10.1177/070674379704200819
2. Kitchener BA, Jorm AF. Mental health first aid training: review of evaluation studies. Aust New Zeal J Psychiatry. 2006;40(1):6–8.
3. Gilbody S, Whitty P, Grimshaw J, Thomas R. Educational and organizational interventions to improve the management of depression in primary care: a systematic review. Jama. 2003;289(23):3145–51.
4. Hall JA, Roter DL, Katz NR. Meta-analysis of correlates of provider behavior in medical encounters. Med Care. 1988;657–75.
5. Stewart MA. Effective physician-patient communication and health outcomes: a review. C Can Med Assoc J. 1995;152(9):1423.
6. Street RL, O’Malley KJ, Cooper LA, Haidet P. Understanding concordance in patient-physician relationships: personal and ethnic dimensions of shared identity. Ann Fam Med. 2008;6(3):198–205.
7. Eagly AH, Johnson BT. Gender and leadership style: A meta-analysis. Psychol Bull. 1990;108(2):233.
8. Hall JA, Roter DL. Do patients talk differently to male and female physicians?: A meta-analytic review. Patient Educ Couns. 2002;48(3):217–24.
9. Sandhu H, Adams A, Singleton L, Clark-Carter D, Kidd J. The impact of gender dyads on doctor–patient communication: a systematic review. Patient Educ Couns. 2009;76(3):348–55.
10. Cypress BK. Characteristics of visits to female and male physicians; the national ambulatory medical care survey, United States, 1977. 1980;
11. Mast MS, Hall JA, Roter DL. Disentangling physician sex and physician communication style: their effects on patient satisfaction in a virtual medical visit. Patient Educ Couns. 2007;68(1):16–22.
12. Schieber A-C, Delpierre C, Lepage B, Afrite A, Pascal J, Cases C, et al. Do gender differences affect the doctor–patient interaction during consultations in general practice? Results from the INTERMEDE study. Fam Pract. 2014;31(6):706–13.
13. Cooper-Patrick L, Gallo JJ, Gonzales JJ, Vu HT, Powe NR, Nelson C, et al. Race, gender, and partnership in the patient-physician relationship. Jama. 1999;282(6):583–9.
14. Cooper LA, Roter DL, Johnson RL, Ford DE, Steinwachs DM, Powe NR. Patient-centered communication, ratings of care, and concordance of patient and physician race. Ann Intern Med. 2003;139(11):907–15.
15. Chaitoff A, Sun B, Windover A, Bokar D, Featherall J, Rothberg MB, et al. Associations between physician empathy, physician characteristics, and standardized measures of patient experience. Acad Med. 2017;92(10):1464–71.
16. Kroenke K, Spitzer RL, Williams JBW. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003;1284–92.
17. Ashworth CD, Williamson P, Montano D. A scale to measure physician beliefs about psychosocial aspects of patient care. Soc Sci Med. 1984;19(11):1235–8.
18. Al-Atram AA. Physicians’Knowledge and Attitudes towards Mental Health in Saudi Arabia. Ethiop J Sci.2018;28(6):771. Doi: http://dx.doi.org/10.4314/ejhs.v28i6.12
19. Health Indicators. Ministry of Health, Department of Statistics. 2006. https://www.moh.gov.sa/en/Ministry/Statistics/Book/Pages/default.aspx
20. Koenig, H.G., et al. Mental Health Care in Saudi Arabia: Past, Present and Future. Open Journal of Psychiatry, 2014;4: 113-130.
21. World Health Organization. Depression. Media Centre fact sheet no. 369. Geneva, Switzerland: WHO; October 2012. www.who. int/mediacentre/factsheets/fs369/en/ index.
22. Casini F, Sighinolfi C, Tedesco P, Bandieri PV, Bologna M, Colombini N, Curcetti C, Magnani M, Morini M, Serio A, Tarricone I, Berardi D, Menchetti M. Primary care physicians’ perspective on the management of anxiety and depressive disorders: a cross-sectional survey in Emilia Romagna Region. BMC Fam Pract. 2013 Jun 7;14:75. doi: 10.1186/1471-2296-14-75. PMID: 23758941; PMCID: PMC3688370.
23. Ansseau M, Fischler B, Dierick M, Albert A, Leyman S, Mignon A: Socioeconomic correlates of generalized anxiety disorder and major depression in primary care: the GADIS II study (generalized anxiety and depression impact survey II). Depress Anxiety 2008, 25(6):506–513.
24. Wun YT, Lam TP, Goldberg D, Lam KF, Li KT, Yip KC: Reasons for preferring a primary care physician for care if depressed. Fam Med 2011, 43(5):344–350.
25. Baumeister H, Harter M. Prevalence of mental disorders based on general population surveys. Soc Psychiatry Psychiatr Epidemiol, 2007; 42:537-46.
26. Ndetei DM, Khasakhala, Mutiso V, Mbwayo. Knowledge, attitude and practice (KAP) of mental illness among staff in general medical facilities in Kenya: Practice and policy Implications. Afr J Psychiatry, 2011;14:225.
27 Williamson LB, Major C, UlzenT, RubinNJ, Fotopoulos E. Evaluation of Experiences of Family Medicine Residents in an Intensive Outpatient Psychiatry Clinic. Best Practices in Mental Health. 2016; 12 (1): 26-42(17)
28. American Academy of Family Physicians. (2008). Recommended curriculum guidelines for family medicine residents: Human behavior and mental health (AAFP Reprint No. 270). Retrieved from http://www.aafp.org/dam/ AAFP/documents/medical_education_residency/program_directors/Reprint270_Mental.pdf.
29. Mazzi, M. A., Rimondini, M., Deveugele, M., Zimmermann, C., Deledda, G., & Bensing, J. Does gender matter in doctor–patient communication during standard gynaecological consultations? An analysis using mixed methods. Communication & Medicine. 2014; 11(3): 285–298
30. Blanch-Hartigan, D., Hall, J. A., Roter, D. L. and Frankel, R. M. (2010) Gender bias in patients’perceptions of patient-centered behaviors. Patient Education and Counseling 80 (3): 315–320. http:// dx.doi.org/10.1016/j.pec.2010.06.014
31. Dielissen, P., Bottema, B. J., Verdonk, P. and Lagro- Janssen, T. (2011) Attention to gender in communication skills assessment instruments in medical education: A review. Medical Education 45 (3): 239–248. http://dx.doi.org/10.1111/j.1365-2923.2010.03876.x
32. Jefferson, L., Bloor, K., Birks, Y., Hewitt, C. and Bland, M. (2013) Effect of physicians’ gender on communication and consultation length: A systematic review and meta-analysis. Journal of Health Service Research & Policy 18 (4): 242–248. http://dx. doi.org/10.1177/1355819613486465
33. Thornton, R. L., Powe, N. R., Roter, D. and Cooper, L. A. (2011) Patient-physician social concordance, medical visit communication and patients’ perceptions of health care quality. Patient Education and Counseling 85 (2): 201–208. http://dx.doi.org/ 10.1016/j.pec.2011.07.015
34. Benli AR, Kaya R, Cebecik A, Sunay D. (2019). Self-assessment of residents in respect of attitudes to communication. Attitudes of Residents in Communication 20(e32): 1–6. doi: 10.1017/S1463423618000920
35. Babicki, M.; Kotowicz, K.; Mastalerz-Migas, A. The Assessment of Attitudes of Medical Doctors towards Psychiatric Patients—A Cross-Sectional Online Survey in Poland. Int. J. Environ. Res. Public Health 2021, 18, 6419. https:// doi.org/10.3390/ijerph18126419
36. Althubaiti N, Ghamri R (May 25, 2019) Family Physicians’ Approaches to Mental Health Care and Collaboration with Psychiatrists. Cureus 11(5): e4755. DOI 10.7759/cureus.4755