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- B Gavin, W Cullen, B O'Donoghue, J C Ascencio-Lane, G Bury, and E O'Callaghan.
- St John of God Hospital, Dublin.
- Ir J Med Sci. 2005 Jul 1; 174 (3): 38-42.
BackgroundChronic schizophrenia is challenging to manage in primary care.AimsWe sought to establish the views of General Practitioners about managing patients with chronic schizophrenia in primary care.MethodsA cross-sectional, postal survey questionnaire of a randomly selected sample of 20% of GPs was carried out.ResultsMost GPs (97.2%) have at least one person with schizophrenia attending their practice. A substantial number of GPs (22.2%) treat cases of schizophrenia without specialist input following an initial referral to psychiatric services. Almost all (88.7%) advised patients who had experienced multiple relapses to remain on medication indefinitely. One third of GPs reported that they always experience difficulties managing patients with schizophrenia in their practice. Non-adherence with prescribed medication and loss to follow-up were the commonest impediments to treatment encountered.ConclusionGPs require appropriate back up from specialist services to enable their management of chronic schizophrenia.
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