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Developing a tool for mapping adult mental health care provision in Europe: the REMAST research protocol and its contribution to better integrated care.开发欧洲成人心理健康护理服务地图绘制工具:REMAST研究方案及其对改善综合护理的贡献。
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Variables associated with general practitioners taking on patients with common mental disorders.与全科医生接诊常见精神障碍患者相关的变量。
Ment Health Fam Med. 2008 Sep;5(3):149-60.
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Obsessive compulsive disorder: integration of cognitive-behaviour therapy and clinical psychology care into the primary care context.强迫症:将认知行为疗法与临床心理护理整合至初级保健环境中。
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Determining prevalence and correlates of psychiatric treatment with Andersen's behavioral model of health services use.用安德生健康服务使用行为模式来确定精神治疗的流行率和相关因素。
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Determinants of barriers to treatment for anxiety disorders.焦虑障碍治疗障碍的决定因素。
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Perceived barriers to psychological treatments and their relationship to depression.感知到的心理治疗障碍及其与抑郁的关系。
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First-ever admitted psychiatric inpatients in Italy: clinical characteristics and reasons contributing to admission: findings from a national survey.意大利首例住院精神病人:入院的临床特征和促成因素:全国性调查结果。
Psychiatry Res. 2010 Mar 30;176(1):62-8. doi: 10.1016/j.psychres.2008.11.005. Epub 2010 Jan 25.
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Variables associated with general practitioners taking on serious mental disorder patients.与全科医生接诊严重精神障碍患者相关的变量。
BMC Fam Pract. 2009 Jun 10;10:41. doi: 10.1186/1471-2296-10-41.
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Intimate partner violence and comorbid mental health conditions among urban male patients.城市男性患者中的亲密伴侣暴力及共病心理健康状况
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Integrating mental health and primary care services in the Department of Veterans Affairs health care system.在美国退伍军人事务部医疗保健系统中整合心理健康与初级保健服务。
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Service utilization differences for Axis I psychiatric and substance use disorders between white and black adults.白人和黑人成年人在轴I精神障碍和物质使用障碍方面的服务利用差异。
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加拿大蒙特利尔市某集水区内因心理健康问题而使用各类专业人员的决定因素。

Determinants of the utilization of diversified types of professionals for mental health reasons in a Montreal (Canadian) catchment area.

作者信息

Fleury Marie-Josée, Grenier Guy, Bamvita Jean-Marie, Perreault Michel, Caron Jean

机构信息

Douglas Hospital Research Centre, Montreal, Quebec, Canada.

出版信息

Glob J Health Sci. 2012 Apr 28;4(3):13-29. doi: 10.5539/gjhs.v4n3p13.

DOI:10.5539/gjhs.v4n3p13
PMID:22980229
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4776932/
Abstract

The study was designed to identify factors associated with the diversity of professionals consulted by 212 individuals affected by at least one mental disorder in the past 12 months in a Montreal catchment area. For inclusion in the study, participants had to be aged 15 to 65 and reside in the study zone. A comprehensive set of variables were analyzed in accordance with the Andersen's behavioural model of health service use. General practitioners, psychiatrists, and psychologists were the main professionals consulted in this study. Having post-secondary education, more than a single mental disorder, excellent relationships with neighbours, and (marginally) being a lifelong victim of violence were associated with higher numbers of professionals consulted. As this study highlights the large number of diversified professionals consulted for reason of mental disorders, shared care initiatives may prove beneficial. Greater effort could also be made in increasing services toward those deemed more vulnerable.

摘要

该研究旨在确定与蒙特利尔一个集水区内212名在过去12个月中至少患有一种精神障碍的个体所咨询的专业人员多样性相关的因素。为纳入该研究,参与者年龄须在15至65岁之间且居住在研究区域内。根据安德森的卫生服务利用行为模型对一系列综合变量进行了分析。全科医生、精神科医生和心理学家是本研究中咨询的主要专业人员。接受过高等教育、患有不止一种精神障碍、与邻居关系良好以及(勉强)为终身暴力受害者与咨询的专业人员数量较多有关。由于本研究突出了因精神障碍而咨询的大量多样化专业人员,共享护理举措可能会被证明是有益的。还可以做出更大努力,为那些被认为更易受伤害的人增加服务。