Improving the Biopsychosocial Competence of German Primary Care Physicians in Diagnosing and Treating Somatoform Disorders

In 1994, psychosocial primary care (PPC) was established as a standard part of the postgraduate training of general practitioners (GPs) in Germany. Despite the introduction of PPC, treatment of somatizing patients remains difficult for most GPs. The authors briefly review the history of psychosomati...

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Veröffentlicht in:Families systems & health 2004-10, Vol.22 (3), p.352-364
Hauptverfasser: Fritzsche, Kurt, Larisch, Astrid, Cierpka, Manfred, Wirsching, Michael
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container_title Families systems & health
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creator Fritzsche, Kurt
Larisch, Astrid
Cierpka, Manfred
Wirsching, Michael
description In 1994, psychosocial primary care (PPC) was established as a standard part of the postgraduate training of general practitioners (GPs) in Germany. Despite the introduction of PPC, treatment of somatizing patients remains difficult for most GPs. The authors briefly review the history of psychosomatic medicine in Germany and the development of PPC. Next, they describe current training efforts in PPC, including curricular goals and theoretical approaches. Subsequently, they present results from evaluations of the training and describe the development of quality management techniques. Results of a randomized controlled trial of a new treatment model demonstrated that effects of reattribution techniques, in contrast to routine PPC, have been small and limited to physical functioning. Finally, the authors address challenges that PPC currently faces and its future.
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subjects Biopsychosocial Approach
Clinical trials
Diagnosis
General Practitioners
Human
Medical treatment
Mental disorders
Physicians
Postgraduate Training
Primary care
Primary Health Care
Professional Competence
Somatoform Disorders
Treatment
title Improving the Biopsychosocial Competence of German Primary Care Physicians in Diagnosing and Treating Somatoform Disorders
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