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Challenging care work: General practitioners' perspectives on caring for young adults with complex psychosocial problems.
Andersen, Julie Høgsgaard; Tjørnhøj-Thomsen, Tine; Reventlow, Susanne; Davidsen, Annette Sofie.
Afiliación
  • Andersen JH; The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Denmark.
  • Tjørnhøj-Thomsen T; National Institute of Public Health, University of Southern Denmark, Denmark.
  • Davidsen AS; The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Denmark.
Health (London) ; 25(2): 214-230, 2021 03.
Article en En | MEDLINE | ID: mdl-31495235
The international literature shows that primary care is well placed to address mental health problems in young people, but that primary care professionals experience a range of challenges in this regard. In Denmark, young adults who have complex psychosocial problems, and who are not in education or work, cause political and academic concern. They are also in regular contact with their general practitioners, the Danish municipalities and psychiatric services. However, little is known about general practitioners' perspectives on caring for this vulnerable group of patients. In this article, we investigate how general practitioners' care work is shaped by the bureaucratic management of care in a complex infrastructure network comprising the general practitioners, psychiatry, the municipalities and the young adults. The analysis is based on interviews and focus groups with general practitioners, psychiatric nurses and social workers. We employ Tronto's concept of care and the concept of boundary work as a theoretical framework. We argue that general practitioners strive to provide care, but they are challenged by the following: contested diagnostic interpretations and the bureaucratic significance of diagnoses for the provision of care from psychiatry and the municipalities, systemic issues with handling intertwined social and mental health problems, and the young adults' difficulties with accessing and receiving available care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Psiquiatría / Médicos Generales / Sistemas de Apoyo Psicosocial / Accesibilidad a los Servicios de Salud / Servicios de Salud Mental Tipo de estudio: Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Health (London) Asunto de la revista: SERVICOS DE SAUDE Año: 2021 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Reino Unido
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Psiquiatría / Médicos Generales / Sistemas de Apoyo Psicosocial / Accesibilidad a los Servicios de Salud / Servicios de Salud Mental Tipo de estudio: Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Health (London) Asunto de la revista: SERVICOS DE SAUDE Año: 2021 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Reino Unido