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首页> 外文期刊>Scandinavian journal of primary health care. >Mental health problems of undocumented migrants in the Netherlands: A qualitative exploration of recognition, recording, and treatment by general practitioners
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Mental health problems of undocumented migrants in the Netherlands: A qualitative exploration of recognition, recording, and treatment by general practitioners

机译：荷兰无证移民的心理健康问题：对全科医生的认可，记录和治疗进行定性探索

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Objective. To explore the views and experiences of general practitioners (GPs) in relation to recognition, recording, and treatment of mental health problems of undocumented migrants (UMs), and to gain insight in the reasons for under-registration of mental health problems in the electronic medical records. Design. Qualitative study design with semi-structured interviews using a topic guide. Subjects and setting. Sixteen GPs in the Netherlands with clinical expertise in the care of UMs. Results. GPs recognized many mental health problems in UMs. Barriers that prevented them from recording these problems and from delivering appropriate care were their low consultation rates, physical presentation of mental health problems, high number of other problems, the UM's lack of trust towards health care professionals, and cultural differences in health beliefs and language barriers. Referrals to mental health care organizations were often seen as problematic by GPs. To overcome these barriers, GPs provided personalized care as far as possible, referred to other primary care professionals such as social workers or mental health care nurses in their practice, and were a little less restrictive in prescribing psychotropics than guidelines recommended. Conclusions. GPs experienced a variety of barriers in engaging with UMs when identifying or suspecting mental health problems. This explains why there is a gap between the high recognition of mental health problems and the low recording of these problems in general practice files. It is recommended that GPs address mental health problems more actively, strive for continuity of care in order to gain trust of the UMs, and look for opportunities to provide mental care that is accessible and acceptable for UMs.
机译：目的。探索全科医生（GPs）在识别，记录和治疗无证移民（UMs）的精神健康问题方面的观点和经验，并了解电子病历中未充分注册的精神健康问题的原因病历。设计。使用主题指南进行半结构化访谈的定性研究设计。主题和设置。在荷兰有16名在UM护理方面具有临床专业知识的GP。结果。全科医生认识到UM中的许多心理健康问题。阻碍他们记录这些问题和提供适当护理的障碍是咨询率低，心理健康问题的身体表现，其他问题很多，UM对医疗保健专业人员缺乏信任以及健康观念和语言上的文化差异障碍。全科医生通常认为转诊至精神保健组织存在问题。为了克服这些障碍，全科医生尽可能提供个性化护理，并在实践中转介其他初级保健专业人员，例如社会工作者或心理保健护士，并且在开具精神药物方面的限制比建议的指导要少一些。结论。在发现或怀疑精神健康问题时，GP遇到了与UM接触的各种障碍。这就解释了为什么对精神健康问题的高度认识与在普通实践档案中对这些问题的低记录之间存在差距。建议全科医生更积极地解决心理健康问题，争取持续护理，以赢得UM的信任，并寻找机会提供UM可以接受的精神护理。

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