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首页> 外文期刊>The Psychiatric quarterly >Providing Mental Health Services in the Primary Care Setting: the Experiences and Perceptions of General Practitioners at a New York City Clinic
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Providing Mental Health Services in the Primary Care Setting: the Experiences and Perceptions of General Practitioners at a New York City Clinic

机译:在初级保健环境中提供心理健康服务:纽约市诊所的全科医生的经验和看法

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Mental illness is a significant cause of disability worldwide, including here in the United States. Given the shortage of trained mental health professionals, a significant portion of patients needing care are managed in the primary care setting. Accountable Care Organizations (ACOs), for example, are seeking to improve the quality ofcare for this vulnerable population, but many are facing significant challenges relating to integration of new services. We sought to elucidate barriers faced by primary care practitioners (PCPs)physicians, physician trainees and nurse practitionersat a New York primary care clinic, which impede delivery of optimal care to those suffering from mental illness. The study was conducted with 32 PCPs in 2016-2017 at Mount Sinai Internal Medicine Associates in New York City. For the quantitative component of the study, a 54-item questionnaire was devised to assess their attitude, behavior and confidence in managing psychiatric patients. For the qualitative component, data was obtained from 3 open-ended questions. Responses were coded for salient themes. Analysis revealed a range of difficulties faced by PCPs. Overall, participants felt that the need to integrate mental health care into primary care was important, however they reported significant barriers in terms of lack of time, lack of resources, low confidence in treating more complex mental health conditions and difficulties with referring patient to mental health specialists. Despite a growing body of evidence that integration of mental health services in primary care leads to improved outcomes, addressing barriers to care will be key to ensuring feasibility of integration measures.
机译:精神疾病是全球残疾的重大原因,包括在美国。鉴于训练有素的心理健康专业人士短缺,需要护理的重要部分在初级保健环境中进行管理。例如,责任关怀组织(ACO)正在寻求提高这种脆弱人口的质量,但许多人面临着与新服务融合有关的重大挑战。我们试图阐明初级护理从业者(PCP)医师,医师学员和护士练习术队的障碍,纽约初级保健诊所妨碍了患有精神疾病的人的最佳护理。该研究于2016-2017在纽约市山山上医学伙伴的2016 - 2017年进行了32名PCP。对于研究的定量组成部分,设计了54件调查问卷,以评估管理精神病患者的态度,行为和信心。对于定性组成部分,数据是从3个开放式问题获得的。响应被编码为显着的主题。分析显示了PCP面临的一系列困难。总体而言,与会者认为,将精神保健融为初级保健的需要很重要,但他们在缺乏时间,资源缺乏,对治疗更复杂的心理健康状况和难以提及患者的患者对精神困难的障碍的重要障碍健康专家。尽管越来越多的证据表明,初级保健服务的融合导致初级保健服务导致改善的结果,解决了护理的障碍将是确保整合措施的可行性的关键。

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