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March 2020 -
Volume 18, Issue 3

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From the Editor

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Original Contribution

[Abstract]
Evaluation of the quality of mental health referrals from Primary Care Physicians in Qatar
Kalim Zada, Mirza Anwarulhaq
[pdf]
DOI: 10.5742MEWFM.2020.93768

[Abstract]
Primary Care Physicians’ Knowledge and Barriers against Practice of Healthy Lifestyle in Abha City
Hussein Ali Hussein Azaybi, Mohammed Ali Hussein Azaybi, Safar Abadi Alsaleem, Alhussein Ali Almonawar
[pdf]
DOI: 10.5742MEWFM.2020.93769

[Abstract]

Knowledge about inguinal hernia among the Saudi Population
Mohammad E. Mahfouz, Alia M. AlShalawi , Abdulrahman A. Alzahrani , Sara H. Alqaidi, Rawan N. Al-Holaifi
[pdf]
DOI: 10.5742MEWFM.2020.93770

[Abstract]
Predictors of Pediatric Intensive care Unit admissions among Children with Acute Asthma Exacerbation
Ali Alsuheel Asseri
[pdf]
DOI: 10.5742MEWFM.2020.93771

[Abstract]
The survey of primary care physicians regarding attitude, confidence and knowledge in providing mental health care in Qatar
Kalim Zada
[pdf]
DOI: 10.5742MEWFM.2020.93772

Education and Training

[Abstract]
Incorporating Resilience into the Family Medicine Training Curriculum
Mohsin Allah Ditta, Abubakar Bham
[pdf]
DOI: 10.5742MEWFM.2020.93776

Population and Community Studies

[Abstract]
Determinants of autism among children in Makkah Al-Mukarramah City, Saudi Arabia: A case-control study
Abid Obaid Alqurashi,Rishi Bharti, Safar Abadi Alsaleem
[pdf]
DOI: 10.5742MEWFM.2020.93773

[Abstract]
Does increased Body mass index increase the risk of recurrent pregnancy loss? Saleemah Abdul Majeed Omar, Alya Abdul-Rahman Sharef, Awara Ahmed Rashid
[pdf]
DOI: 10.5742MEWFM.2020.93774

[Abstract]
Quality of Sleep among General Governmental Secondary School Students in Abha City, Saudi Arabia Yahia M. Al-Qahtani, Hamad M. Al-Qahtani, Bothyna M. Mohamed, Fatima Riaz , Ossama A. Mostafa
[pdf]
DOI: 10.5742MEWFM.2020.93775

Case reports

[Abstract]
Case Report: Detection and Excision of Melanoma in Situ in an Australian Primary Care Setting
Abubakar Bham
[pdf]
DOI: 10.5742MEWFM.2020.93778

[Abstract]
Disseminated Tuberculosis: A Rare Presentation
Fazila Khattak, Husam Al Saudi
[pdf]
DOI: 10.5742MEWFM.2020.93777



Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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abyad@cyberia.net.lb
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

March 2020 - Volume 18, Issue 3

The survey of primary care physicians regarding attitude, confidence and knowledge in providing mental health care in Qatar

(1) (MBBS, MRCGP, PG Clinical Dip Dermatology UK), Family Physician, Al Wajbah Health Center,
Qatar
(2) (MBBS, MRCGP), Family Physician, Al Wajbah Health Center, Qatar

Corresponding author:
Dr. Kalim Zada,
Al Wajbah Health Center
Qatar
Tel: 00974 66492769
Email: drzada@gmail.com

Received: January 2020; Accepted: February 2020; Published: March 1, 2020. Citation: M Kalim Zada,Mirza Anwarulhaq. The survey of primary care physicians regarding attitude, confidence and knowledge in providing mental health care in Qatar. World Family Medicine. 2020; 18(3): 33-48. DOI: 10.5742MEWFM.2020.93772

Abstract

Background: In Qatar, the enormous cost of mental health disorders has spurred a primary care-driven national strategy to improve mental health treatment access. However, attitudes, confidence and knowledge about mental health treatment can widely vary in the Qatari primary care physician population, which can have significant implications for the quality of mental health treatment delivery. We know of no published data on these characteristics.

Materials and Methods: We collected anonymous surveys from primary care physicians working in the Primary Health Care Corporation (PHCC). The survey collected demographic data about the respondents, and used the well-validated Mental Illness: Clinicians’ Attitude Scale (MICA-4) to assess attitudes and confidence about mental health treatment, as well as a knowledge assessment tool developed locally.

Results: There were 115 respondents, most of whom were male (67%) and aged 36-55 (80.4%). Most respondents (75.7%) had less than two years of psychiatric training or experience, and had taken two or fewer psychiatric education courses in the last year (83.4%).

Most of the physicians expressed positive attitudes about mental health and confidence about treating it. Although respondents lacked in the mental health knowledge when judged against the local policies, they showed good fundamental knowledge of diagnosing and treating common mental health problems. The majority of the physicians chose SSRIs (citalopram, fluoxetine, paroxetine) as first line treatment of depression (81%) and anxiety (90%). However, they could not identify the proper protocol to manage SSRI-induced hypomania (76.5%). They did identify the importance of thyroid function screening (87.8%) and evidence-based non-pharmacological treatment (71.3%).

Conclusion: Primary care physicians in Qatar are willing to treat mental health conditions and feel confident about doing so. They have good fundamental knowledge but appear to lack knowledge of local (PHCC) policies about managing common mental health conditions.

Limitations: Study limitations include the use of subjective survey data and use of a knowledge assessment tool validated solely by local expert consensus.

Key words: primary care, psychiatry, mental health treatment, quality improvement, mental health care, Qatar

 







 


 

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