Wong Eunice C, Marshall Grant N
RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA 90407-2138, USA.
Oral Maxillofac Surg Clin North Am. 2010 May;22(2):247-50. doi: 10.1016/j.coms.2010.01.001.
Collaborative care interventions show significant promise in facilitating integrative care, which addresses the physical and mental health needs of patients with orofacial trauma. Ensuring the successful implementation of collaborative care interventions depends on having an adequate understanding of the potential barriers to the provision and receipt of mental health services within specific clinical settings. This article reviews recent findings on the patients' and providers' perceptions of barriers to psychosocial aftercare services in oral and maxillofacial trauma care settings. These findings indicate that although patients and providers recognize the need for psychosocial aftercare, they report substantial barriers to these services. Structural barriers, such as not knowing where to obtain services and financial cost, are the major obstacles among patients. Among providers, structural barriers also serve as significant impediments to the provision of psychosocial services. Some of the most common structural barriers reported by providers include a shortage of financial resources, trained clinical staff, and space. Although collaborative care interventions may be well suited to capitalize on patients' and providers' interests in psychosocial aftercare programs, further research is needed to determine the viability of this promising aftercare model within oral and maxillofacial trauma care settings.
协作式护理干预措施在促进综合护理方面显示出巨大潜力，这种综合护理可满足口腔颌面创伤患者的身心健康需求。确保协作式护理干预措施的成功实施，取决于对特定临床环境中提供和接受心理健康服务的潜在障碍有充分的了解。本文综述了近期关于患者和提供者对口腔颌面创伤护理环境中社会心理后续护理服务障碍的看法的研究结果。这些结果表明，尽管患者和提供者认识到社会心理后续护理的必要性，但他们报告称这些服务存在重大障碍。结构性障碍，如不知道何处获取服务和经济成本，是患者面临的主要障碍。在提供者当中，结构性障碍也是提供社会心理服务的重大阻碍。提供者报告的一些最常见的结构性障碍包括财政资源短缺、训练有素的临床工作人员短缺和空间不足。尽管协作式护理干预措施可能非常适合利用患者和提供者对社会心理后续护理项目的兴趣，但仍需要进一步研究，以确定这种有前景的后续护理模式在口腔颌面创伤护理环境中的可行性。
