Prieskum medzi psychiatrami poukázal na nedostatok času, ktorý majú na vyšetrenie pacientov. Cieľom nášho zisťovania bolo preto vyskúmať, koho a vakom poradí by v takto limitovanom čase slovenskí psychiatri vyšetrili spomedzi pacientov s rôznymi diagnózami. Zvlášť nás zaujímalo postavenie pacientov so závislosťou od alkoholu, resp. od iných psychoaktívnych látok. Anonymnou dotazníkovou metódou sme oslovili 45 psychiatrov. Mali určiť, vakom poradí by ambulantne vyšetrili 6 pacientov, z ktorých každý trpel klinicky rovnako závažnou, ale odlišnou diagnózou duševnej poruchy. V celkovom súčte poradí od všetkých lekárov sa umiestnili pacienti s jednotlivými diagnózami podľa toho, ako by boli nimi ošetrení, takto: (1) pacienti s diagnózou schizofrénia, (2) pacienti s diagnózou depresia, (3) pacienti s diagnózou demencia, (4) pacienti s diagnózou neuróza, (5) s diagnózou závislosť od alkoholu, a na poslednom (6) mieste sa umiestnili pacienti s diagnózou závislosť od iných psychoaktívnych látok. Z nášho prieskumu je možné usudzovať, že prístup k psychiatrickej starostlivosti pre pacientov s diagnózou závislosti od alkoholu a drog je na Slovensku nedostatočný.

The present survey conducted among psychiatrists has indicated a shortage of time they have for examination of their patients. The goal of our survey was to find out which of the patients with different diagnoses, and in which order, would Slovak psychiatrists examine in such a limited time. Particularly, we were interested in the positioning of the patients with dependency on alcohol and other psychoactive substances. We have approached forty-five psychiatrists with anonymous questionnaire. They were asked to indicate in which order they would provide an out-patient examination to six patients, each suffering from mental disorder of the equal clinical significance, but of different diagnosis. Patients with different diagnosis have been positioned by the total sum of their rankings obtained from the group of psychiatrists, who indicated in which order they would provide care to them: (1) patients with diagnosis of schizophrenia, (2) patients with diagnosis of depression, (3) patients with dementia, (4) patients with diagnosis of neurotic disorder, (5) with dependency on alcohol, and as last (6) were ranked positioned patients with diagnosis of dependency on other psycho active substances. From the results of our survey it is possible to conclude, that accessibility of the psychiatric care for patients with dependency on alcohol and other drugs is not sufficient in Slovakia.

Centrum pre liečbu drogových závislostí Bratislava

Problem with psychiatric care accessibility for patients with addictions

Literatura