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The space of access to primary mental health care: A qualitative case study

机译：获得初级精神卫生保健的空间：定性案例研究

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摘要

Guided by theoretical perspectives of relational social science, this paper draws on reanalyses of multiple qualitative datasets related to a multi-ethnic, economically disadvantaged area in Liverpool, UK, with the aim to advance general understanding of access to primary mental health care while using local Somali minority as an instrumental focus.The findings generate a novel concept: the space of access. The shape and dynamics of the space of access are determined by at least four fields of tensions: understandings of area and community; cognitive mapping of mental well-being, illness and care; positioning of primary care services; and dynamics of resources beyond the 'medical zone' of care.The conclusions indicate a need for de-centring and re-connecting the role of medical professionals within primary care which itself needs to be transformed by endorsement of multiple avenues of access to diverse support and intrepid communication among all involved actors.
机译：本文以关系社会科学的理论观点为指导，对与英国利物浦多种族，经济处于不利地位的地区相关的多个定性数据集进行了重新分析，旨在增进人们在使用本地心理保健服务的同时对获得基本精神保健服务的一般理解索马里少数民族作为工具重点。研究结果产生了一个新概念：出入空间。进入空间的形状和动态至少由四个紧张领域决定：对区域和社区的了解;对社区的了解。心理健康，疾病和护理的认知图谱;初级保健服务的定位;结论表明，有必要在初级保健中分散和重新联系医疗专业人员的角色，而这本身需要通过认可获得多种支持的多种途径来转变以及所有参与者之间的强硬沟通。

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