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请打破沉默:家长对儿科初级保健与心理健康服务提供者之间沟通的看法。

Please break the silence: Parents' views on communication between pediatric primary care and mental health providers.

作者信息

Greene Carolyn A, Ford Julian D, Ward-Zimmerman Barbara, Foster Dana

机构信息

Department of Psychiatry.

Integrated Care Consultant.

出版信息

Fam Syst Health. 2015 Jun;33(2):155-9. doi: 10.1037/fsh0000117. Epub 2015 Apr 6.

DOI:10.1037/fsh0000117
PMID:25844776
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4461524/
Abstract

INTRODUCTION

The purpose of this study was to gain a better understanding of parents' preferences regarding the sharing of information between their children's primary care and mental health providers.

METHOD

Fifty-five parents with a child who was actively engaged in mental health treatment completed an anonymous survey while accompanying their child to either a primary care or mental health clinic appointment. This brief measure elicited parents' experiences with and preferences for treatment coordination across their children's primary care and mental health providers, with a focus on communication practices.

RESULTS

Parents consistently described communication among their children's primary care and mental health providers as important, yet frequently reported that such communication was not currently taking place. Further, parents reported that they were often called upon to act as "communication bridges" between professionals caring for their children.

DISCUSSION

Implications for the collaborative pediatric and mental health care of children as well as recommendations for improving communication between mental health and pediatric providers are discussed.

摘要

引言

本研究的目的是更深入地了解家长对于孩子的初级保健医生和心理健康服务提供者之间信息共享的偏好。

方法

五十五位有孩子正在积极接受心理健康治疗的家长,在陪同孩子前往初级保健或心理健康诊所就诊时,完成了一项匿名调查。这项简短的调查收集了家长在孩子的初级保健医生和心理健康服务提供者之间进行治疗协调的经历和偏好,重点是沟通方式。

结果

家长们一致认为孩子的初级保健医生和心理健康服务提供者之间的沟通很重要,但经常报告说目前这种沟通并未发生。此外,家长们表示他们经常被要求充当照顾孩子的专业人员之间的“沟通桥梁”。

讨论

讨论了对儿童综合儿科和心理健康护理的影响,以及改善心理健康服务提供者和儿科医生之间沟通的建议。

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本文引用的文献

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Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems.患者和家庭为中心的医疗协调:整合多系统儿童和青少年医疗服务的框架。
Pediatrics. 2014 May;133(5):e1451-60. doi: 10.1542/peds.2014-0318.
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Collaboration between NCQA Patient-Centered Medical Homes and specialty behavioral health and medical services.NCQA 患者为中心的医疗之家与专业行为健康和医疗服务之间的合作。
Transl Behav Med. 2012 Sep;2(3):332-6. doi: 10.1007/s13142-012-0153-4.
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Connecticut's enhanced care clinic initiative: early returns from pediatric-behavioral health partnerships.
Fam Syst Health. 2011 Jun;29(2):138-43. doi: 10.1037/a0023474.
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Developing effective child psychiatry collaboration with primary care: leadership and management strategies.发展与基层医疗的有效儿童精神病学合作:领导力和管理策略。
Child Adolesc Psychiatr Clin N Am. 2010 Jan;19(1):139-48; table of contents. doi: 10.1016/j.chc.2009.08.004.
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Parents as information intermediaries between primary care and specialty physicians.父母作为初级保健医生和专科医生之间的信息中介。
Pediatrics. 2007 Dec;120(6):1238-46. doi: 10.1542/peds.2007-1112.
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Referral by pediatricians of children with behavioral health disorders.儿科医生对患有行为健康障碍儿童的转诊。
Clin Pediatr (Phila). 2005 May;44(4):343-9. doi: 10.1177/000992280504400410.