Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Emory University, Atlanta, Georgia, USA.
Womens Health Issues. 2012 Mar;22(2):e217-24. doi: 10.1016/j.whi.2011.10.001. Epub 2011 Dec 15.
This qualitative study investigates the barriers and facilitators to accessing and utilizing healthcare services among women with a serious mental illness (SMI).
A purposive sample of 30 poor, urban, predominantly African-American women with a diagnosis of an SMI was recruited. Interviews were audio-taped and transcribed verbatim. Data analysis was guided by a modified constant comparison approach.
The findings highlight a variety of nonmedical factors that serve as both barriers and facilitators to accessing and utilizing medical healthcare services, such as a trusting relationship with a mental health provider and a women's social network.
Nonmedical factors and personal circumstances seem to be important factors influencing pathways to healthcare services among women with an SMI. Efforts to better engage and retain women with an SMI into healthcare will need to better acknowledge and incorporate the larger social context of the women's lives.
本定性研究调查了患有严重精神疾病（SMI）的女性获得和利用医疗保健服务的障碍和促进因素。
招募了 30 名贫困、城市、主要是非裔美国女性，她们被诊断患有 SMI。访谈进行了录音，并逐字转录。数据分析由经过修改的恒定比较方法指导。
研究结果突出了多种非医疗因素，这些因素既是获得和利用医疗保健服务的障碍，也是促进因素，例如与心理健康提供者建立信任关系以及女性的社交网络。
非医疗因素和个人情况似乎是影响患有 SMI 的女性获得医疗保健服务途径的重要因素。为了更好地让患有 SMI 的女性参与和留住医疗保健，需要更好地承认和纳入女性生活的更大社会背景。
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