{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T05:46:26Z","timestamp":1766382386533,"version":"3.48.0"},"reference-count":12,"publisher":"BMJ","issue":"6865","license":[{"start":{"date-parts":[[1992,11,28]],"date-time":"1992-11-28T00:00:00Z","timestamp":722908800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ"],"published-print":{"date-parts":[[1992,11,28]]},"abstract":"<jats:p>OBJECTIVE--To pilot a method of assessing psychological care by general practitioners. DESIGN--Prospective examination of psychological care given in general practice by using general health questionnaire with predetermined quantifiable and case specific indices of outcome established at the original consultation. SETTING--Rural general practice in Clwyd, North Wales. SUBJECTS--447 consecutive adult general practice attenders. MAIN OUTCOME MEASURES--Three month follow up consultation rates, one year retrospective consultation rates, continuity of care, changes in general health questionnaire scores at follow up, general satisfaction, and acceptability of outcome measures. RESULTS--The principal and trainee identified 72 patients with psychological problems, 46 of whom had new conditions. 133 patients scored over 6 on the 28 item general health questionnaire, 33 of whom were identified as new cases by the general practitioners. 62 patients were seen at follow up, including 23 patients identified by the questionnaire but not by the doctor. The doctors used diagnostic terms to describe the presenting condition in 38 cases. At three month follow up the general health questionnaire scores had fallen by more than 5 points in 22\/39 patients identified and managed by doctors and 11\/23 identified by the questionnaire. The agreed index of good outcome was almost or completely achieved by 20 of the 39 patients managed by doctors. CONCLUSION--Quantifiable methods of evaluating the quality of the structure, process, and outcome of psychological care can be achieved in general practice.<\/jats:p>","DOI":"10.1136\/bmj.305.6865.1333","type":"journal-article","created":{"date-parts":[[2009,3,30]],"date-time":"2009-03-30T08:16:37Z","timestamp":1238400997000},"page":"1333-1336","source":"Crossref","is-referenced-by-count":11,"title":["Assessment of psychological care in general practice."],"prefix":"10.1136","volume":"305","author":[{"given":"D.","family":"Crossley","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. P.","family":"Myres","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Wilkinson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1992,11,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1144","DOI":"10.1136\/bmj.297.6657.1144","article-title":"I don't want you to see a psychiatrist","volume":"297","author":"Wilkinson, G.","year":"1988","unstructured":"Wilkinson G. I don't want you to see a psychiatrist. BMJ 1988;297:1144-5.","journal-title":"BMJ"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1017\/S0033291700030853","article-title":"Determinants of the ability of general practitioners to detect psychiatric illness","volume":"9","author":"Marks, J.N.; Goldberg, D.P.; Hillier, J.F.","year":"1979","unstructured":"Marks JN, Goldberg DP, Hillier JF. Determinants of the ability of general practitioners to detect psychiatric illness. Psychol Med 1979;9:337-53.","journal-title":"Psychol Med"},{"key":"ref_3","first-page":"15","article-title":"Screening for psychiatric illness in general practice: the general practitioner versus the screening questionnaire","volume":"37","author":"Goldberg, D.P.; Bridges, K.","year":"1987","unstructured":"Goldberg DP, Bridges K. Screening for psychiatric illness in general practice: the general practitioner versus the screening questionnaire. J R Coll Gen Pract 1987;37:15-8.","journal-title":"J R Coll Gen Pract"},{"key":"ref_4","first-page":"459","article-title":"A study of the presentation of somatic symptoms in general practice by patients with psychiatric disturbance","volume":"40","author":"Wright, A.F.","year":"1990","unstructured":"Wright AF. A study of the presentation of somatic symptoms in general practice by patients with psychiatric disturbance. Br Geon Pract 1990;40: 459-63.","journal-title":"Br Geon Pract"},{"key":"ref_5","first-page":"558","article-title":"How general practitioners manage depressive illness: developing a method of audit","volume":"32","author":"Burton, R.H.; Freeling, P.","year":"1982","unstructured":"Burton RH, Freeling P. How general practitioners manage depressive illness: developing a method of audit.JR Col Gen Pract 1982;32:558-61.","journal-title":"JR Col Gen Pract"},{"key":"ref_6","first-page":"164","article-title":"Hidden psychiatric illness: use of the general health questionnaire in general practice. Jf R Coll Gen 1Pract","volume":"37","author":"Wright, A.F.; Perini, A.F.","year":"1987","unstructured":"Wright AF, Perini AF. Hidden psychiatric illness: use of the general health questionnaire in general practice. Jf R Coll Gen 1Pract 1987;37: 164-7."},{"issue":"3","key":"ref_7","first-page":"1","article-title":"Validation of a computerised assessment (PROQSY) of minor psychological morbidity by relative operating characteristic analysis using a single GP's assessments as criterion measures","volume":"225","author":"Wilkinson, G.; Markus, A.C.","year":"1989","unstructured":"Wilkinson G, Markus AC. Validation of a computerised assessment (PROQSY) of minor psychological morbidity by relative operating characteristic analysis using a single GP's assessments as criterion measures. Psychol Med 1989;19:225-3 1.","journal-title":"Psychol Med"},{"key":"ref_8","article-title":"A user's guide to the general health questionnaire","author":"Goldberg, D.P.; Williams, P.","year":"1988","unstructured":"Goldberg DP, Williams P. A user's guide to the general health questionnaire. Windsor: NFER Nelson, 1988."},{"key":"ref_9","first-page":"\"373","article-title":"The general health questionnaire and the detection of emotional disorder by general practitioners. Br J7 Psychiatry","volume":"151","author":"Boardman, A.P.","year":"1987","unstructured":"Boardman AP. The general health questionnaire and the detection of emotional disorder by general practitioners. Br J7 Psychiatry 1987;151: 373-81. 1 1 Howie JRG. Diagnosis-the Achilles heel?J R Coll Gen Pract 1972;22:310-5.","journal-title":"J R Coll Gen Pract; Diagnosis-the Achilles heel"},{"key":"ref_10","first-page":"542","article-title":"Psychological distress: outcome and consultation rates in one general practice","volume":"38","author":"Wright, A.F.","year":"1988","unstructured":"Wright AF. Psychological distress: outcome and consultation rates in one general practice. J R Coll Gen Pract 1988;38:542-5.","journal-title":"J R Coll Gen Pract"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1017\/S0033291700007807","article-title":"Primary care as the middle ground for psychiatric epidemiology","volume":"18","author":"Shepherd, M.; Wilkinson, G.","year":"1988","unstructured":"Shepherd M, Wilkinson G. Primary care as the middle ground for psychiatric epidemiology. Psychol Med 1988;18:263-7.","journal-title":"Psychol Med"},{"key":"ref_12","first-page":"95","article-title":"Measurement of outcomes in general practice","volume-title":"Measuring the outcomes of medical care","author":"Metcalfe, D.H.H.","year":"1990","unstructured":"Metcalfe DHH. Measurement of outcomes in general practice. In: Hopkins A, Costain D, eds. Measuring the outcomes of medical care. 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