Health Services Research Center, University of California-Los Angeles, Los Angeles, CA, 90023, USA,
Community Ment Health J. 2014 May;50(4):435-46. doi: 10.1007/s10597-013-9616-4. Epub 2013 Jun 7.
Individuals with serious mental illness (SMI) are at considerably higher risk for morbidity and mortality than those in the general population. The current pilot trial is a preliminary examination of a peer health navigation intervention for improving health and healthcare utilization called the Bridge. Twenty-four individuals with SMI were randomly assigned to either peer navigation or treatment as usual (TAU). Navigators encouraged development of self-management of healthcare through a series of psychoeducation and behavioral strategies. Outcomes included a range of health consequences, as well as health utilization indices. After 6 months, compared to the TAU group, participants receiving the intervention experienced fewer pain and health symptoms. Participants changed their orientation about seeking care to a primary care provider (44.4 % vs. 83.3 %, χ(2) = 3.50, p < .05) rather than the emergency room (55.6 % vs. 0 %, χ(2) = 8.75, p < .01). Therefore, the Bridge intervention demonstrated considerable promise through positively impacting health and healthcare utilization.
患有严重精神疾病 (SMI) 的个体比一般人群更容易出现发病率和死亡率。目前的试点试验是对一种名为 Bridge 的改善健康和医疗保健利用的同伴健康导航干预的初步检查。24 名患有 SMI 的个体被随机分配到同伴导航或常规治疗 (TAU) 组。导航员通过一系列心理教育和行为策略鼓励自我管理医疗保健。结果包括一系列健康后果以及健康利用指数。6 个月后，与 TAU 组相比，接受干预的参与者经历的疼痛和健康症状较少。参与者改变了他们对医疗服务的看法，从急诊室改为初级保健提供者（44.4% 对 83.3%， χ²（2）= 3.50，p <.05）而不是急诊室（55.6% 对 0%， χ²（2）= 8.75，p <.01）。因此，Bridge 干预通过积极影响健康和医疗保健利用显示出了很大的潜力。
