Purpose: Several studies Conducted during the last 30 years have shown the
high prevalence of mental disorder among patients of general practitioners
(GPs). The integration of out patients care of schizophrenics into primary
care remains controversial. Yet there is a lack of studies determining the
subjective view of clients on their choice of their physician. Methods: In
this study we interviewed in patient schizophrenics on their choice of phys
ician for out patient care. Results: 27,3% were being treated only by a GP,
29,9% only by a psychiatrist and 36,4% by a GP and a psychiatrist. Those t
reated only by a GP knew him a lot longer. The appraisal was more positive
for those treated only by a GP, while those treated by both psychiatrist an
d GP rated the competence of the psychiatrist more positive by. Conclusions
: Those treated by both GP and psychiatrist had the longest length of illne
ss, yet the lowest rate of rehospitalisation. Although these results cannot
only be seen as a result of the choice of physician, they still confirm th
e importance of interdisciplinary cooperation and should encourage GPs and
psychiatrists to recommend their schizophrenics to be treated cooperatively
.