[Obstacles and practical perspectives of the consultation in general medicine of migrants with psychological disorders. Qualitative study among French general practitioners].

IF 3.3 3区 医学 Q2 PSYCHIATRY Canadian Journal of Psychiatry-Revue Canadienne De Psychiatrie Pub Date : 2024-03-01 Epub Date: 2023-09-24 DOI:10.1177/07067437231200842
Marie Lerigoleur, Aurélie Urena-Dores, Bourrel Gérard, Cyril Jaume, Mathilde Minet, Élodie Million, Bernard Clary, Agnès Oude Engberink, Béatrice Lognos Folco
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Abstract

Objective: The aim of this study is to understand the problems of managing psychological disorders in migrant populations, based on the experience of general practitioners.

Method: A qualitative study was carried out with general practitioners interviewed in a semi-directive mode. We chose the continuous comparison method and Peirce's pragmatic phenomenological approach to explore the lived experience.

Results: Thirteen interviews revealed four phenomenological categories: (1) Immigration was an experience of mental suffering from beginning to end at the source of psychological disorder migrant population (PDMPs) with the need for specialized follow-up. (2) Inadequate support on arrival, with complicated administrative procedures and insecure societal and environmental conditions, exacerbated the precariousness of migrants, making follow-up difficult. (3) Immigration was a transcultural journey in which the language, attitudes and perceptions of each individual blurred understanding of symptoms and care, and thus professional communication. (4) Unprepared general practitioners found counselling migrants to be difficult, time-consuming and complex. They pointed to the need for a coordinated system with comprehensive multidisciplinary care.Data saturation was reached. Three researchers were brought together.

Conclusion: This study highlights the difficulties encountered by general practitioner (GPs) dealing with migrant patients in France. They feel helpless in the face of the nature of the disorders encountered and experience a disparity between the connections that are difficult to establish and those in their usual practice, even when professional experience with this population is acquired. They point to the need for coordinated models of care, financed by public policy.

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[心理障碍移民全科医学咨询的障碍和实践视角。法国全科医生的定性研究]。
目的:本研究旨在根据全科医生的经验,了解外来人口心理障碍的管理问题。方法:采用半指导模式对全科医生进行定性研究。我们选择了连续比较法和皮尔斯的语用现象学方法来探索生活体验。结果:13次访谈揭示了四个现象学类别:(1)移民是一种从开始到结束的心理痛苦经历,是心理障碍的根源——需要专门随访的移民群体。(2) 抵达时的支持不足,行政程序复杂,社会和环境条件不安全,加剧了移民的不稳定,使后续行动变得困难。(3) 移民是一个跨文化的旅程,在这个旅程中,每个人的语言、态度和看法都模糊了对症状和护理的理解,从而模糊了职业交流。(4) 没有做好准备的全科医生发现,为移民提供咨询是困难、耗时和复杂的。他们指出,需要一个具有全面多学科护理的协调系统。数据饱和。三名研究人员被召集在一起。结论:本研究强调了全科医生在法国处理移民患者时遇到的困难。面对所遇到的障碍的性质,他们感到无助,并经历了难以建立的联系与他们通常做法中的联系之间的差异,即使在获得了与这一群体的专业经验的情况下也是如此。他们指出,需要由公共政策资助的协调护理模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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