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首页> 外文期刊>Archives of psychiatric nursing >Eradicating Barriers to Mental Health Care Through Integrated Service Models: Contemporary Perspectives for Psychiatric-Mental Health Nurses
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Eradicating Barriers to Mental Health Care Through Integrated Service Models: Contemporary Perspectives for Psychiatric-Mental Health Nurses

机译：通过综合服务模式消除心理保健的障碍：精神病，精神保健护士的当代观点

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There has been renewed, global interest in developing new and transformative models of facilitating access to high-quality, cost-effective, and individually-centered health care for severe mentally-ill (SMI) persons of diverse racial/ethnic, cultural and socioeconomic backgrounds. However, in our present-day health-service delivery systems, scholars have identified layers of barriers to widespread dispersal of well-needed mental health care both nationally and internationally. It is crucial that contemporary models directed at eradicating barriers to mental health services are interdisciplinary in context, design, scope, sequence, and best-practice standards. Contextually, nurses are well-positioned to influence the incorporation and integration of new concepts into operationally interdisciplinary, evidence-based care models with measurable outcomes. The aim of this concept paper is to use the available evidence to contextually explicate how the blended roles of psychiatric mental health (PMH) nursing can be influential in eradicating barriers to care and services for SMI persons through the integrated principles of collaboration, integration and service expansion across health, socioeconomic, and community systems. A large body of literature proposes that any best-practice standards aimed at eliminating barriers to the health care needs of SMI persons require systematic, well-coordinated interdisciplinary partnerships through evidence-based, high-quality, person-centered, and outcome-driven processes. Transforming the conceptual models of collaboration, integration and service expansion could be revolutionary in how care and services are coordinated and dispersed to populations across disadvantaged communities. Building on their longstanding commitment to individual and community care approaches, and their pivotal roles in research, education, leadership, practice, and legislative processes; PMH nurses are well-positioned to be both influential and instrumental in the development of innovative, revolutionary, and transformative paradigmatic models aimed at eradicating treatment barriers, promoting well-being, and reducing preventable mortalities and morbidities among SMI persons. (C) 2016 Elsevier Inc. All rights reserved.
机译：全球范围内重新出现了对开发新的变革性模型的兴趣，这些模型有助于为种族，民族，文化和社会经济背景各异的重度精神疾病患者提供高质量，具有成本效益和以个人为中心的医疗服务。然而，在我们当今的卫生服务提供系统中，学者们已经确定了在国内和国际上广泛分散急需的精神卫生保健的障碍。至关重要的是，旨在消除心理健康服务障碍的当代模型必须在上下文，设计，范围，顺序和最佳实践标准方面是跨学科的。在上下文中，护士处于有利位置，可以影响将新概念纳入和整合为可衡量结果的跨学科，基于证据的运营护理模型。本概念文件的目的是利用现有证据在上下文中阐明精神科精神卫生（PMH）护理的混合作用如何通过协作，整合和服务的综合原则消除SMI人员的护理和服务障碍扩展卫生，社会经济和社区系统。大量文献提出，旨在消除SMI人员医疗保健需求障碍的任何最佳实践标准都需要通过循证，高质量，以人为本和以结果为导向的过程进行系统，协调良好的跨学科合作。转变协作，整合和服务扩展的概念模型，对于在如何协调和分散服务和服务于弱势社区的人群方面可能是革命性的。基于他们对个人和社区护理方法的长期承诺，以及它们在研究，教育，领导，实践和立法过程中的关键作用; PMH护士在发展创新，革命性和变革性范式模型方面处于有利地位，并且可以发挥作用，这些模型旨在消除治疗障碍，促进福祉并减少SMI患者中可预防的死亡率和发病率。 （C）2016 Elsevier Inc.保留所有权利。

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