engleski

Are the General Practitioners / Family Doctors sensitive to the biopsychosocial model?

Background: Thirty years age, Engel challenged the biomedical approach, stated that patients physical symptoms and sings couldn't be separated from patients' psychological and social context. But, it seams that biomedical model of thinking and acting is still prevailing in medical schools and in medical practice. The main aim of the study was to investigate if the GPs educated in traditional medical schools are sensitive to the biopsychosocial model in the patients care. Subject and methods: Subject were general practitioners (GP) participating at In-service Vocational training (weekly organised teaching and learning) all over Croatia. Out of 127 GP, 92 (72, 4%, 18 male, 74 female), voluntarily participated in this study. A data were collected under the normal conditions of the GP's everyday work. At the end of the consultation, GPs were asked to assess, marking from 0% to 100%, relative contribution of biomedical, psychological and social factors in the aetiology of the problem presented by the particular patient. In the same protocol, established diagnosis (ICD-X) as well as the patient’s social and demographic data were recorded. In total 1787 consultations were recorded. Results: In total, a relative contribution of the biomedical factors in the aetiology of patients problems were 67, 6%, psychological 21, 6%, and social 10, 8%. But, we found the differences related to the patients characteristics. A higher contribution of biomedical factors were found in male and in employed patients and psychological factors in female, unemployed and single-living patients. A higher contribution of social factors were found in unemployed, single-living patients and patients from small cities. Conclusion: Croatian GP participating at In-service Vocational training are sensitive to the biopsychosocial model in the patients care.

Family medicine; vocational training; biopsychosocial model

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