Chafe Roger, Audas Richard
Assistant Professor, Division of Pediatrics, Faculty of Medicine, Memorial University of Newfoundland, St John's, NL.
Associate Professor, Division of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St John's, NL.
Healthc Pap. 2014;14(2):52-6; discussion 58-60.
Often neglected from discussions of high-cost healthcare users are children and youth with mental health issues. But when considered from the perspective of all of the various public and community services they require, and their impact on families, these children should be considered in initiatives to improve care for frequent healthcare users. For children with mental illness, because of the fragmented services they receive, there are clear opportunities for gains in patient care through better clinical and social care integration, even without significant additional investments. A key barrier to improving care for these children and youth is better understanding their care pathways. We conclude by describing a new multidisciplinary research project, which is taking an inter-sectorial view of how youth and their families access mental health services across the four Atlantic Canadian provinces, to provide the knowledge basis to improve care for these vulnerable, high-cost patients.
在关于高成本医疗使用者的讨论中，患有心理健康问题的儿童和青少年常常被忽视。但是，从他们所需的各种公共和社区服务以及对家庭的影响来看，在改善频繁就医者护理的举措中应考虑到这些儿童。对于患有精神疾病的儿童，由于他们接受的服务分散，即使没有大量额外投资，通过更好地整合临床和社会护理，在患者护理方面也有明显的改善机会。改善这些儿童和青少年护理的一个关键障碍是更好地了解他们的护理途径。我们通过描述一个新的多学科研究项目来结束本文，该项目从跨部门的角度审视加拿大大西洋沿岸四个省份的青少年及其家庭如何获得心理健康服务，以提供知识基础来改善对这些易受伤害的高成本患者的护理。
