Fleury Marie-Josée, Grenier Guy, Bamvita Jean-Marie, Perreault Michel, Caron Jean
Douglas Hospital Research Centre, Montreal, Quebec, Canada.
Glob J Health Sci. 2012 Apr 28;4(3):13-29. doi: 10.5539/gjhs.v4n3p13.
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.
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。