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首页> 外文期刊>Evidence-based nursing >Care management increases the use of primary and medical care services by people with severe mental illness in community mental health settings.
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Care management increases the use of primary and medical care services by people with severe mental illness in community mental health settings.

机译:护理管理增加了社区精神卫生场所中严重精神疾病患者对初级和医疗服务的使用。

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The primary care, access, referral and evaluation (PCARE) study is a pioneering, and to our knowledge, first-of-its-kind study. Building on the extensive literature examining collaborative care models for enhancing mental healthcare among primary care patients,'~4 PCARE evaluated a care management intervention for decreasing the medical morbidity and mortality of patients with severe mental illness receiving mental healthcare in a Community Mental Health Center (CMHC).Extant data underscores the high levels of morbidity and mortality among patients with severe mental illness treated in the public sector.5 Overall, this group of patients die about 25 years earlier compared to the general population, and problems with the quality of medical care appear to be an important contributing factor to this excess morbidity and mortality,5"7 highlighting the critical importance of attending to general medical and mental health needs. The PCARE study is designed to address this clinical and public health problem and advance efforts to improve health and mental health outcomes in these high-risk patients.
机译:初级保健,访问,转诊和评估(PCARE)研究是开创性的,并且就我们所知,这是首创​​的研究。建立在广泛的文献研究基础上,协作医疗模型可提高初级保健患者的心理健康水平,〜4 PCARE在社区心理健康中心评估了一项护理管理干预措施,以降低患有精神疾病的重度精神疾病患者的医疗发病率和死亡率( CMHC)。现有数据强调了在公共部门接受治疗的重度精神疾病患者的高发病率和死亡率。5总体而言,与一般人群相比,该组患者的死亡时间约早25年,并且医疗质量存在问题护理似乎是造成这种高发病率和高死亡率的重要因素,[5“ 7强调了满足一般医学和心理健康需求的至关重要性。PCARE研究旨在解决这一临床和公共卫生问题,并为改善疾病和精神疾病而做出努力。这些高危患者的健康状况和心理健康状况。

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