精神病患者未能寻求医疗保健。
Failure to seek health care among the mentally ill.
作者信息
Hahm Hyeouk C, Segal Steven P
机构信息
School of Social Welfare, University of California, Berkeley, and Center for Self-Help Research, Berkeley, CA, USA.
出版信息
Am J Orthopsychiatry. 2005 Jan;75(1):54-62. doi: 10.1037/0002-9432.75.1.54.
Abstract
This study describes failure to seek health care among 673 new adult clients seeking mental health services in the San Francisco Bay area. Overall, 49% (n = 328) reported a failure to seek health care they believed was needed in the past year. People with dual diagnosis, severe depression, chronic physical illness, fear of coercive treatment, private insurance, and no insurance were more likely to fail to seek health care. Greater use of private physicians decreased the odds of failure to seek health care. These findings highlight the need to target groups at risk for failure to seek health care and the need to design nonthreatening programs to improve health access for people with mental illness.
摘要
本研究描述了旧金山湾区673名寻求心理健康服务的成年新客户中未寻求医疗保健的情况。总体而言，49%（n = 328）报告称在过去一年中未寻求他们认为需要的医疗保健。患有双重诊断、重度抑郁症、慢性身体疾病、害怕强制治疗、有私人保险和没有保险的人更有可能未寻求医疗保健。更多地使用私人医生降低了未寻求医疗保健的几率。这些发现凸显了针对有未寻求医疗保健风险的群体的必要性，以及设计无威胁性项目以改善精神疾病患者获得医疗服务机会的必要性。
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