ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 49
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
A
B
C
D
E
F
G
H
I
J
K
Role and self-confidence of general practitioners in
providing mental health services in public health centres in
Bali, Indonesia
Dr Putu Aryani1,2, Cokorda Bagus Jaya Lesmana2,3, Pande Putu Januraga1,2, Ketut Suastika2,4,
Luh Ketut Suryani5, Niko Tiliopoulos6
1
Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University,
Bali, 2Doctoral Study Program in Medical Science, Faculty of Medicine, Udayana University, Bali,
3
Department of Psychiatry, Faculty of Medicine, Udayana University, Bali/I.G.N.G. Ngoerah Hospital,
Bali, 4Department of Endocrinology and Metabolic Diseases, Faculty of Medicine, Udayana University,
Bali/I.G.N.G. Ngoerah Hospital, Bali, 5Suryani Institute of Mental Health, Bali, 6School of Psychology,
The University of Sydney, Sydney
Background
The Ministry of Health (MoH) of Indonesia has introduced integrated mental health services (MHS)
at public health centres (PHCs) since 2009. General practitioners (GPs) play vital roles as the first
contact for any health problems at the primary care level. However, in Bali, the implementation of MHS
provision by GPs in the real-world setting remained challenging.
Objectives
To describe the role and self-confidence of the GPs working in PHCs in Bali.
Methods
This cross-sectional survey was conducted from November to January 2022, involving 212 GPs who
worked in PHC policlinics in Bali. The participants were invited to fill in a Google form questionnaire,
which was distributed through several GP social media groups. The data were analysed descriptively
by using statistical software.
Results
Almost all participating GPs from PHCs all over Bali (96.7%) confirmed that there is an active mental
health program in every PHC. Only 22.1% of all GPs reported having awareness and experience in
screening mental disorders at PHC policlinics, and only 22.5% prescribe psychotropic medicines.
Most GPs also get involved in referring patients to the provincial mental hospital and following up
with patients after being discharged from the hospital. Surprisingly, most GPs (67.9%) admitted not
feeling confident in diagnosing and managing mental disorders in their routine practice, since most of
them (64.2%) did not get additional mental health management training. Most GPs (67%) believe that
additional training in mental health would improve their competency and confidence in providing MHS
at the PHC level.
Conclusion
Only a small proportion of GPs conducted screening and therapy for mental disorders at the PHCs
in Bali, which is probably related to the low confidence in managing mental disorders. Training and
collaboration with psychiatrists were considered by the GPs to be essential to improve competency,
skill and confidence in providing MHS in PHCs.
47