McCarron Robert M
Department of Internal Medicine, University of California, Davis School of Medicine, Sacramento, CA, USA; Department of Psychiatry and Behavioral Sciences, University of California, Davis School of Medicine, 2230 Stockton Boulevard, Sacramento, CA 95817, USA; Division of Pain Medicine, Department of Anesthesiology, University of California, Davis School of Medicine, Sacramento, CA, USA.
Psychiatr Clin North Am. 2015 Sep;38(3):463-74. doi: 10.1016/j.psc.2015.05.005. Epub 2015 Jun 29.
Patients with mental illness, particularly serious mental illness, are more likely to suffer from common disorders without optimal treatment. Changes in preventive practice patterns cannot be fully realized on a large scale until clinicians are trained how to routinely provide this care. Psychiatrists may consider using preventive care strategies in the area of cardiovascular health, as cardiovascular disease is the most common cause of death and disproportionately affects patients with mental illness. At minimum, psychiatrists are well positioned to work collaboratively with primary care providers to address psychopathology that may interfere with adherence to the treatment plan.
患有精神疾病，尤其是严重精神疾病的患者，如果没有得到最佳治疗，更有可能患上常见疾病。在临床医生接受如何常规提供这种护理的培训之前，预防实践模式的改变无法在大规模上完全实现。精神科医生可以考虑在心血管健康领域采用预防护理策略，因为心血管疾病是最常见的死亡原因，且对精神疾病患者的影响尤为严重。至少，精神科医生有很好的条件与初级保健提供者合作，以解决可能干扰治疗计划依从性的精神病理学问题。
