VA Ann Arbor Center for Clinical Management Research, 2215 Fuller Road, Ann Arbor, MI 48105, USA.
Adm Policy Ment Health. 2012 Nov;39(6):448-57. doi: 10.1007/s10488-011-0365-9.
Integrated care for medical conditions is essential for persons with serious mental illness (SMI). This qualitative study describes mental health provider perspectives regarding barriers and facilitators of integrated care for patients with SMI. We interviewed providers from a national sample of Veterans Health Administration facilities that scored in the top or bottom percentile in medical care quality. Providers from high-performing sites reported substantial in-person contacts with general medical providers, while providers from low-performing sites reported stigma and limited communication with medical providers as major concerns. Interventions to improve mental health and medical provider communication may facilitate integrated care for persons with SMI.
精神疾病患者的综合医疗护理至关重要。本定性研究描述了精神健康服务提供者对精神疾病患者综合医疗护理的障碍和促进因素的看法。我们采访了来自退伍军人事务部医疗设施的全国性样本，这些设施在医疗质量方面得分处于前或后百分位。表现较好的机构的服务提供者报告说与普通医疗服务提供者有大量的面对面接触，而表现较差的机构的服务提供者则报告说对医疗服务提供者的污名化和有限的沟通是主要关注点。改善精神健康和医疗服务提供者沟通的干预措施可能有助于为精神疾病患者提供综合医疗护理。
