Clinical Research & Resource Centre, University of Auckland, New Zealand.
Community Ment Health J. 2010 Dec;46(6):531-9. doi: 10.1007/s10597-009-9237-0. Epub 2009 Aug 18.
People with serious mental illness have higher rates of morbidity and mortality from cardiovascular disease. This study describes health practitioners' views on their role and confidence assessing and managing cardiovascular risk. The key findings were of a widespread acknowledgement of the need to undertake systematic risk assessment and offer structured approaches to risk factor management. Barriers of client engagement, lack of good systems and poor information sharing between primary and secondary care providers were identified. Solutions discussed included a collaborative care model or the integration of physical health services, perhaps a general practitioner-led clinic, within the secondary care setting. Whilst there is a need to identify an optimal care model there is an even greater need to take some rather than no action.
患有严重精神疾病的人患心血管疾病的发病率和死亡率更高。本研究描述了卫生保健从业者对其评估和管理心血管风险角色和信心的看法。主要发现是广泛认识到需要进行系统的风险评估，并提供结构化的方法来管理风险因素。确定的障碍包括患者参与度低、缺乏良好的系统以及初级和二级保健提供者之间信息共享差。讨论的解决方案包括协作式护理模式或在二级保健环境中整合身体健康服务，也许是由全科医生主导的诊所。虽然需要确定最佳的护理模式，但更需要采取一些行动而不是无所作为。
