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Health Care Decisions among Mental Health Services Consumers in San Diego County: Implications for Integrated Care

机译：圣地亚哥县心理健康服务消费者的医疗保健决策：对综合护理的影响

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People living with serious mental illness are at elevated risk for chronic diseases compared with those in the general population. Whether integrated care for this population would be most accessible in primary care or mental health settings is unclear. The cross-sectional study described in this article used descriptive analyses and multinomial logistic regression to assess factors associated with using physical health services from primary or mental health providers. Data were drawn from a large-scale assessment of client-reported use of primary care services in a large and ethnically diverse public mental health system. Most people (80.4 percent) reported accessing primary care services from one or more service settings. Having chronic conditions was associated with accessing physical health care from multiple service settings, whereas having poor self-rated emotional health decreased health services use from any setting. It was concluded that mental health services consumers access health care from various service settings. Social workers can play a critical role in enhancing care coordination across the mental health and primary care systems.
机译：与普通人口中的人相比，患有严重精神疾病的人患有慢性疾病的升高。在初级保健或精神健康环境中是否最可获得综合护理，尚不清楚。本文中描述的横截面研究使用了描述性分析和多项逻辑回归，以评估与主要或精神卫生提供者的身体健康服务相关的因素。在大型和革新的公共心理健康系统中，从客户报告的初级保健服务的大规模评估中汲取数据。大多数人（80.4％）报告从一个或多个服务设置访问初级保健服务。具有慢性条件与从多种服务环境中访问物理保健相关的情况相关，而自律的自我额定情绪健康状况差减少了任何环境的卫生服务。它的结论是，心理健康服务消费者从各种服务环境中获得医疗保健。社会工作者可以在加强整个心理健康和初级保健系统方面的关注协调方面发挥关键作用。

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