摘要
Clinical question:How effective are enhanced care interventions for adults with functional symptoms in primary care?Bottom line:Trials aimed to teach general practitioners(GPs)a variety of interventions,including opportunistic approaches,individual consultations,and more structured management(e.g.,patient diaries and planned follow-up).While statistical heterogeneity in some comparisons precluded meta-analyses,other comparisons were conducive to meta-analyses.Effect sizes for both physical and mental health were small and without clinical significance at both short-and long-term follow-up.Patient satisfaction with care appeared to be greater in the intervention group in all three studies that evaluated this treatment approach,although the results were not statistically significant.The effects on healthcare use were inconclusive with respect to GP visits;the effects on overall healthcare costs could not be estimated.Attrition was slightly higher in the intervention group.
