...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The journal of clinical psychiatry >Improving medical care for persons with serious mental illness: challenges and solutions.
【24h】

Improving medical care for persons with serious mental illness: challenges and solutions.

机译：改善严重精神疾病患者的医疗保健：挑战和解决方案。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

A critical step in addressing excess medical morbidity and mortality in persons with serious mental illness is to better understand and seek to improve the medical care that they receive. Medical quality deficits for persons with serious mental illness include problems related to overuse of certain medical services, such as emergency room care; underuse of some evidence-based general medical services; and misuse, or medical error. The origins of poor quality care for persons with mental disorders are rooted in interrelated contributory factors from patients, providers, and the medical and mental health care systems. At a system level, at least 4 types of separation between mental and medical health care may exacerbate the problems for persons with serious mental illnesses: (1) geographic (lack of co-located medical and mental health services), (2) financial (separate funding streams for medical and mental health services), (3) organizational (difficulty in sharing information and expertise across thesesystems), and (4) cultural (providers' focus on particular symptoms or disorders, rather than on the patients with those problems). Research studies and demonstration programs for improving medical care in this population have spanned a continuum of medical provider involvement from psychiatrist and patient training to on-site consultation by medical staff, multidisciplinary collaborative care approaches, and facilitated linkages between community and mental health and medical providers. Ultimately, it will be important to develop, test, and implement a range of models for improving the medical care of persons with serious mental disorders that are tailored to patients' needs, mental health system capacities, and local community resources.
机译：解决严重精神疾病患者过高的发病率和死亡率的关键步骤是更好地理解和寻求改善他们所获得的医疗服务。严重精神疾病患者的医疗质量缺陷包括与过度使用某些医疗服务有关的问题，例如急诊室护理;某些基于证据的一般医疗服务使用不足;以及误用或医疗错误。对精神障碍患者的低质量护理的根源来自患者，提供者以及医疗和精神保健系统的相互关联的促成因素。在系统级别上，精神和医学保健之间的至少四种分离可能会加剧严重精神疾病患者的问题：（1）地域性（缺乏共同安置的医学和精神健康服务），（2）财务上的（用于医疗和心理健康服务的单独资金流），（3）组织性（难以在这些系统之间共享信息和专业知识）和（4）文化性（提供者将重点放在特定症状或疾病上，而不是在那些有问题的患者上） 。改善该人群医疗保健的研究和示范计划涵盖了从精神科医生和患者培训到医务人员的现场咨询，多学科合作护理方法，以及社区与心理健康与医疗提供者之间的便利联系等一系列医疗服务提供者参与的连续过程。最终，开发，测试和实施一系列模型以改善严重精神障碍患者的医疗保健至关重要，这些模型要根据患者的需求，心理健康系统的能力和当地社区资源而定制。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号