从孤岛到桥梁：满足患有严重精神疾病成年人的一般医疗保健需求。

From silos to bridges: meeting the general health care needs of adults with severe mental illnesses.

作者信息

Horvitz-Lennon Marcela, Kilbourne Amy M, Pincus Harold Alan

机构信息

University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania, USA.

出版信息

Health Aff (Millwood). 2006 May-Jun;25(3):659-69. doi: 10.1377/hlthaff.25.3.659.

DOI:10.1377/hlthaff.25.3.659

PMID:16684729

Abstract

Despite their higher burden of chronic general medical disorders, adults with severe mental illnesses have poorer access to and quality of general health care compared to people without mental illnesses. Because a key contributor to this situation is the separation between the mental health care sector (patients' health care home) and the general health care sector, bridges to connect these systems are needed. We discuss obstacles to clinical integration and propose strategies to address them.

摘要

尽管患有严重精神疾病的成年人面临着更高的慢性普通医疗疾病负担，但与没有精神疾病的人相比，他们获得普通医疗保健的机会更少，医疗保健质量也更低。造成这种情况的一个关键因素是精神卫生保健部门（患者的医疗保健之家）与普通医疗保健部门之间的分离，因此需要建立连接这些系统的桥梁。我们讨论了临床整合的障碍并提出了解决这些障碍的策略。