Sullivan Greer, Kanouse David, Young Alexander S, Han Xiaotong, Perlman Judy, Koegel Paul
Department of Veterans Affairs, South Central Mental Illness Research, Education and Clinical Center (MIRECC), North Little Rock, AR 72114, USA.
Community Ment Health J. 2006 Aug;42(4):345-61. doi: 10.1007/s10597-006-9053-8. Epub 2006 Aug 15.
This study describes persons with serious mental illness and comorbid HIV infection and examines the effect of co-location of mental health and HIV care on satisfaction, service utilization, and appropriateness of care. One hundred and eighteen subjects completed interviews and gave blood samples; medical records were abstracted. Most reported few barriers to care and satisfaction with mental health and HIV treatment. Co-location of mental health and HIV care did not influence satisfaction with care, utilization of services, or appropriateness of care. This report challenges the notion that persons with serious mental illnesses receive inadequate health care and that they have minimal capacity for illness management. These subjects may be benefiting from increased funding for, and attention to, persons with HIV infection.
本研究描述了患有严重精神疾病且合并感染艾滋病毒的人群，并考察了心理健康护理与艾滋病毒护理同址设置对满意度、服务利用情况及护理适宜性的影响。118名受试者完成了访谈并提供了血样；同时提取了病历信息。大多数人表示在接受护理以及对心理健康和艾滋病毒治疗的满意度方面几乎没有障碍。心理健康护理与艾滋病毒护理同址设置并未影响护理满意度、服务利用情况或护理适宜性。本报告对以下观念提出了质疑，即患有严重精神疾病的人获得的医疗保健不足，且他们管理疾病的能力极低。这些受试者可能受益于对艾滋病毒感染者增加的资金投入和关注。
