Sacks Rebecca M, Greene Jessica, Burke Ryan, Owen Erin C
School of Nursing, George Washington University, 6915 SE Mall St, Portland, OR, 97206, USA,
Adm Policy Ment Health. 2015 Jul;42(4):484-92. doi: 10.1007/s10488-014-0562-4.
Access to mental health care is suboptimal for low-income pregnant women. Using in-depth interviews, we examined barriers and facilitators to accessing care among 42 low income pregnant women with depressive symptoms. To pilot whether financial incentives would increase utilization during pregnancy, half the women were randomized to receive $10 gift cards after mental health visits. Women reported external and internal barriers to accessing mental health care, and internal and interpersonal facilitators. Financial incentives did not impact how often the women visited mental health providers, suggesting that small incentives are not sufficient to catalyze mental health care use for this population.
低收入孕妇获得心理健康护理的情况并不理想。通过深入访谈，我们调查了42名有抑郁症状的低收入孕妇在获得护理方面的障碍和促进因素。为了试点经济激励措施是否会增加孕期护理的利用率，一半的女性被随机分配在心理健康就诊后获得10美元礼品卡。女性报告了获得心理健康护理的外部和内部障碍，以及内部和人际促进因素。经济激励措施并未影响女性拜访心理健康服务提供者的频率，这表明小额激励不足以促使该人群使用心理健康护理。
