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| Research article summary (published 29 Sep 2002): |
Attitudes and practices of general practitioners in the diagnosis and management of attention-deficit/hyperactivity disorder.
Full Abstract
OBJECTIVE:
To assess understanding of, and actual and potential roles in management of attention-deficit/hyperactivity disorder (ADHD) among GPs.
METHODS:
A cross-sectional questionnaire survey of Queensland GPs selected randomly from the Royal Australian College of General Practitioners directory of members was carried out. Main outcome measures were knowledge levels of ADHD, current management practices, referral patterns and self-perceived information and training needs.
RESULTS:
Three hundred and ninety-nine GPs returned a completed questionnaire (response rate 76%). Roles identified by GPs were:
the provisional diagnosis of ADHD and referral to specialist services for confirmation of the diagnosis and initiation of management; assistance with monitoring progress once a management plan was in place; education of the child and their family regarding the disorder; and liaison with the school where necessary. Perceived barriers to increased involvement of GPs were:
time and resource constraints of general practice; concerns regarding abuse and addiction liability of prescription stimulants; complex diagnostic issues associated with childhood behavioural problems; and lack of training and education regarding ADHD.
CONCLUSIONS:
General practitioners identify a role for themselves in ADHD care that is largely supportive in nature and involves close liaison with specialist services.
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Author information
Author/s: Shaw, K A (KA); Mitchell, G K (GK); Wagner, I J (IJ); Eastwood, H L (HL);
Affiliation: School of Population Health, University of Queensland Medical School, Herston, Queensland, Australia. k.shaw@sph.uq.edu.au
Journal and publication information
Publication Type: Journal Article; Research Support, Non-U.S. Gov't
Journal: Journal of paediatrics and child health (J Paediatr Child Health), published in Australia. (Language: eng)
Reference: 2002-Oct; vol 38 (issue 5) : pp 481-6
Dates: Created 2002/09/30; Completed 2002/12/03; Revised 2007/09/24;
PMID: 12354265, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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