Andy
Senior Member (Voting rights)
Google translated from Czech to English. Some line breaks added.
INTRODUCTION
Patients with long-term physical problems that do not correspond to the findings of routine medical examinations constitute a significant portion of patients in general practitioners' offices and can be very burdensome for doctors and for the entire health and social system. According to current scientific knowledge and international recommended practices, it is necessary to identify these patients as soon as possible and approach them with special emphasis on building trust in the doctor-patient relationship and on the consistent application of the bio-psycho-social approach to their complaints.
The authors of this recommended practice (DP) call this complex and fundamentally human approach to patients the "psychosomatic approach". It certainly represents the foundations of a medical approach to each patient not only in primary care, but for patients where routine diagnostic methods of medicine do not explain their problems and conventional therapy does not meet with the desired effect, a consistent psychosomatic approach is a necessity. And not only for the sake of patients, but also for doctors themselves, who, by adopting psychosomatic practice, can relieve themselves of frustration from the lack of results of their professional efforts and from unsatisfactory communication with dissatisfied patients.
In 2015, the first DP of the Society of General Medicine focused on psychosomatic problems was created. This new DP is not a mere update of the older one. It defines its focus slightly differently and also offers a different perspective on the issue of functional and persistent physical problems in accordance with current global professional discussion and evidence-based good practice.
In many ways, these two DPs complement each other and a general practitioner can certainly use both in his or her practice. However, according to the authors, this new DP should also be sufficient on its own to navigate the issue of functional disorders and the psychosomatic approach to physical problems.
It is clear that not all recommendations will be feasible in all regions due to the lack of representation of psychosomatic and psychotherapeutic services. Optimal care can also be significantly limited by the financial availability of these professional services.
The authors of the DP are convinced that not only the health, but also the social and economic impact of functional disorders and persistent physical symptoms is enormous (Rask et al., 2017) and requires an accelerated increase in the availability of psychosomatic health care covered by public health insurance. This change can only be achieved with constant pressure from the patient and professional public on politicians and health insurance companies, as well as on educational institutions.
Open access
INTRODUCTION
Patients with long-term physical problems that do not correspond to the findings of routine medical examinations constitute a significant portion of patients in general practitioners' offices and can be very burdensome for doctors and for the entire health and social system. According to current scientific knowledge and international recommended practices, it is necessary to identify these patients as soon as possible and approach them with special emphasis on building trust in the doctor-patient relationship and on the consistent application of the bio-psycho-social approach to their complaints.
The authors of this recommended practice (DP) call this complex and fundamentally human approach to patients the "psychosomatic approach". It certainly represents the foundations of a medical approach to each patient not only in primary care, but for patients where routine diagnostic methods of medicine do not explain their problems and conventional therapy does not meet with the desired effect, a consistent psychosomatic approach is a necessity. And not only for the sake of patients, but also for doctors themselves, who, by adopting psychosomatic practice, can relieve themselves of frustration from the lack of results of their professional efforts and from unsatisfactory communication with dissatisfied patients.
In 2015, the first DP of the Society of General Medicine focused on psychosomatic problems was created. This new DP is not a mere update of the older one. It defines its focus slightly differently and also offers a different perspective on the issue of functional and persistent physical problems in accordance with current global professional discussion and evidence-based good practice.
In many ways, these two DPs complement each other and a general practitioner can certainly use both in his or her practice. However, according to the authors, this new DP should also be sufficient on its own to navigate the issue of functional disorders and the psychosomatic approach to physical problems.
It is clear that not all recommendations will be feasible in all regions due to the lack of representation of psychosomatic and psychotherapeutic services. Optimal care can also be significantly limited by the financial availability of these professional services.
The authors of the DP are convinced that not only the health, but also the social and economic impact of functional disorders and persistent physical symptoms is enormous (Rask et al., 2017) and requires an accelerated increase in the availability of psychosomatic health care covered by public health insurance. This change can only be achieved with constant pressure from the patient and professional public on politicians and health insurance companies, as well as on educational institutions.
Open access
