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首页> 外文期刊>International Journal of Integrated Care >A Qualitative Study on Primary Care Integration into an Asian Immigrant-specific Behavioural Health Setting in the United States
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A Qualitative Study on Primary Care Integration into an Asian Immigrant-specific Behavioural Health Setting in the United States

机译：在美国将基础保健纳入亚洲特定移民行为健康环境的定性研究

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Introduction: Integrating primary care and behavioural health services improves access to services and health outcomes among individuals with serious mental illness. Integrated care is particularly promising for racial and ethnic minority individuals given higher rates of chronic illnesses and poorer access to and quality of care compared to Whites. However, little is known about integrated care implementation in non-White populations. The aim of this study is to identify facilitators and barriers to successful implementation of primary care-behavioural health integration in a multilingual behavioural healthcare setting. Methods: Seven focus groups and five semi-structured interviews were conducted with 41 patients and 5 providers participating in integrated care in a community mental health clinic in California serving Asian immigrants. Results: Themes generated from constant comparative analysis suggest limited system-level preconditions and cross-organisational dynamics challenged integrated care. At the same time, changing organisational culture and practice, improving patient-provider and provider-provider communication, and increasing patient involvement enhanced clinical outcomes and facilitated successful implementation. Discussion and conclusions: Findings highlight the importance of patient involvement, peer services and interdisciplinary communication to successfully implement integrated care in the face of linguistic and operational challenges in settings serving multilingual and multicultural patients.
机译：简介：整合初级保健和行为健康服务可改善患有严重精神疾病的人获得服务和健康成果的机会。与白人相比，综合护理对于种族和少数族裔个体尤其有希望，因为其慢性病发病率更高，获得医疗的机会和质量也较差。但是，对于非白人人群中实施综合护理的了解甚少。这项研究的目的是确定在多语言行为医疗保健环境中成功实施初级保健-行为健康整合的促进因素和障碍。方法：在加利福尼亚州为亚洲移民服务的社区心理健康诊所，对41名患者和5名提供综合护理的提供者进行了七个焦点小组和五个半结构式访谈。结果：不断进行比较分析得出的主题表明有限的系统级前提条件和跨组织的动态挑战了综合护理。同时，改变组织文化和惯例，改善患者与提供者之间的沟通以及增加患者的参与度可以提高临床效果并促进成功实施。讨论与结论：调查结果突出了在服务于多语言和多元文化患者的环境中，面对语言和运营方面的挑战，患者参与，同伴服务和跨学科交流对于成功实施综合护理的重要性。

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