{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T03:12:30Z","timestamp":1785208350904,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,3,28]],"date-time":"2017-03-28T00:00:00Z","timestamp":1490659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Committee on Research and Conference Grants of The University of Hong Kong","award":["10401224"],"award-info":[{"award-number":["10401224"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asia-Pacific Psychiatry"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>This study investigated the barriers and facilitators for psychiatrists in managing mental health patients under a Chinese context and a mixed private\u2010public health system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two focus group interviews were conducted to explore the in\u2010depth opinions of psychiatrists in Hong Kong. The themes identified from the focus groups were investigated in a questionnaire survey with data from 83 psychiatrists working in public and private sectors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No insurance coverage of mental health problems, patients' poor compliance of medication, and stigma of seeing psychiatrists were rated as the top barriers in the survey. Some psychiatrists mentioned in focus groups that they might write down the associated physical symptoms of the patients rather than the mental disorder diagnoses on the medical certificate. They observed some patients suspecting that psychiatric drugs were prescribed to control their behavior and make them more muddleheaded. The survey also found that consultation time constraint, long patient waiting list, and difficulty in discharging patients to primary care mostly affected public psychiatrists rather than private ones. However, they perceived similar facilitators, including public campaign to promote positive results of help\u2010seeking, adequate explanation by other health professionals to the patients before referrals, handling severe cases by casework approach, and having a regular primary care physician.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The top barriers are related to insufficient public awareness and negative attitudes towards mental illness and its treatment. Major solutions include promoting positive results of help seeking, enhancing collaboration with primary care physicians, and follow\u2010up of severe cases by a casework approach.<\/jats:p><\/jats:sec>","DOI":"10.1111\/appy.12279","type":"journal-article","created":{"date-parts":[[2017,3,28]],"date-time":"2017-03-28T16:56:23Z","timestamp":1490720183000},"source":"Crossref","is-referenced-by-count":14,"title":["Barriers and facilitators for psychiatrists in managing mental health patients in Hong Kong\u2014Impact of Chinese culture and health system"],"prefix":"10.1111","volume":"10","author":[{"given":"Kai Sing","family":"Sun","sequence":"first","affiliation":[{"name":"Department of Family Medicine and Primary Care The University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tai Pong","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Primary Care The University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwok Fai","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Statistics and Actuarial Science The University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tak Lam","family":"Lo","sequence":"additional","affiliation":[{"name":"Kwai Chung Hospital  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2190\/PM.42.3.e"},{"key":"e_1_2_8_3_1","volume-title":"National survey of mental health and wellbeing: Summary of results","author":"Australian Bureau of Statistics","year":"2008"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-7893.2011.00279.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/13561820.2013.785503"},{"key":"e_1_2_8_6_1","first-page":"884","article-title":"Mental health care in the primary care setting: Family physicians' perspectives","volume":"54","author":"Clatney L.","year":"2008","journal-title":"Canadian Family Physician"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00131746-200501000-00010"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-11-169"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-13-19"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-004-0787-8"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2010.61.11.1081"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.2190\/PM.48.3.f"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(02)00442-0"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201400387"},{"key":"e_1_2_8_16_1","volume-title":"Adult psychiatric morbidity in England, 2007: Results of a household survey","author":"Mcmanus S.","year":"2009"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-014-0824-1"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1614.2004.01464.x"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2007.58.3.357"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmv044"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-014-0605-x"},{"key":"e_1_2_8_22_1","unstructured":"The Harvard Team1998.Hong Kong private practice survey Special Report #4 Harvard Report."},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.21.2581"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2008.888"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2012.01604.x"},{"key":"e_1_2_8_26_1","first-page":"100","article-title":"Developments in early intervention for psychosis in Hong Kong","volume":"22","author":"Wong G. H.","year":"2012","journal-title":"East Asian Arch Psychiatry"},{"key":"e_1_2_8_27_1","volume-title":"Integrating mental health into primary care: A global perspective","author":"World Health Organization","year":"2008"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-011-0452-y"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2013.03.036"}],"container-title":["Asia-Pacific Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fappy.12279","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/appy.12279","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T17:43:46Z","timestamp":1695663826000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/appy.12279"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,28]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1111\/appy.12279"],"URL":"https:\/\/doi.org\/10.1111\/appy.12279","archive":["Portico"],"relation":{},"ISSN":["1758-5864","1758-5872"],"issn-type":[{"value":"1758-5864","type":"print"},{"value":"1758-5872","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,28]]},"article-number":"e12279"}}