Department of Clinical Psychology, University of Utah, Salt Lake City, Utah, USA.
Issues Ment Health Nurs. 2012 Mar;33(3):172-80. doi: 10.3109/01612840.2011.638415.
The goal of this study was to obtain in-depth descriptions of barriers to primary care for adults with serious mental illness (SMI) and to provide solutions to these barriers. Qualitative interviews were administered to mental health and medical providers, as well as patients. Several major themes were reported including: poor access to care; patient limitations (e.g., psychopathology, cognitive difficulties); societal, health care system, and provider bias; integrated/fragmented care, communication difficulties; and quality of care issues. Results point to a need for nursing professionals to continue to improve access to medical care for this population, as well as to continue to integrate mental health and primary care.
这项研究的目的是深入了解成年人严重精神疾病（SMI）患者在初级保健方面面临的障碍，并为这些障碍提供解决方案。研究采用定性访谈的方式对心理健康和医疗服务提供者以及患者进行了调查。研究报告了几个主要主题，包括：难以获得医疗服务；患者的限制（例如，精神病理学、认知困难）；社会、医疗保健系统和提供者的偏见；整合/碎片化的医疗服务，沟通困难；以及医疗质量问题。研究结果表明，护理专业人员需要继续努力改善这一人群的医疗服务获取途径，并继续整合心理健康和初级保健。
