McCabe Marita P, Leas Loranie
School of Psychology, Deakin University, Victoria, Australia.
Psychol Health Med. 2008 May;13(3):303-12. doi: 10.1080/13548500701473952.
Research has found that a substantial proportion of individuals with mental illness have high morbidity and mortality rates, and high under-diagnosis of major physical illnesses. Furthermore, people with a mental illness tend not to seek out or utilise health care services. The reasons for the negative attitudes and behaviour towards health care services among this population have not been investigated. This paper presents findings from a study that investigated the health care service needs of people with mental illness (n = 20), and views from health care providers (n = 16) regarding access to these services by people with a mental illness. Results indicated that psychiatric patients identified a range of barriers to their health care usage and low levels of health care satisfaction. These views were shared with health care professionals. Reasons for these findings and strategies to address these problems so that there is better access to health care services for people with mental illness are discussed.
研究发现，相当一部分患有精神疾病的人发病率和死亡率较高，且主要躯体疾病的诊断不足情况严重。此外，患有精神疾病的人往往不寻求或不利用医疗保健服务。尚未对这一人群对医疗保健服务持消极态度和行为的原因进行调查。本文介绍了一项研究的结果，该研究调查了患有精神疾病的人的医疗保健服务需求（n = 20），以及医疗保健提供者（n = 16）对患有精神疾病的人获得这些服务的看法。结果表明，精神病患者指出了一系列影响其使用医疗保健服务的障碍以及较低的医疗保健满意度。医疗保健专业人员也认同这些观点。本文讨论了这些研究结果的原因以及解决这些问题的策略，以便患有精神疾病的人能够更好地获得医疗保健服务。
