初级医疗环境中的精神科执业护士护理：一项加利福尼亚州的案例研究。
Nurse Practitioner Mental Health Care in the Primary Context: A Californian Case Study.
作者信息
Theophilos Theane, Green Roger, Cashin Andrew
机构信息
School of Health and Human Sciences, Southern Cross University, PO Box 157, Lismore, NSW 2480, Australia.
College of Health, Human Services, and Nursing, California State University Dominguez Hills, 1000 East Victoria Street, Carson, CA 90747, USA.
出版信息
Healthcare (Basel). 2015 Mar 18;3(1):162-71. doi: 10.3390/healthcare3010162.
In America, mental health needs surpass the availability of specialized providers. This vulnerable population also has other obstacles for comprehensive care including gaps in medical coverage, stigma, economic barriers, and a geographical mal‑distribution of qualified mental health professionals. A wide availability of primary care providers, including primary care and family nurse practitioners, are well-positioned to deliver integrated mental and physical health care. A case study from a Southern California Coachella Valley primary care clinic with integrated services is used to demonstrate the much-needed approach of care to address health disparities that face low‑income immigrants, migrant workers, and others without access to specialized care centers and providers. It is argued that mental health care should be part of all holistic treatment provided by primary care and family nurse practitioners. This has implications for curricula and practice development.
在美国，心理健康需求超过了专业医疗服务提供者的可及性。这一弱势群体在获得全面护理方面还面临其他障碍，包括医疗保险覆盖范围的缺口、耻辱感、经济障碍以及合格心理健康专业人员的地理分布不均。包括初级保健医生和家庭护士从业者在内的大量初级保健提供者，处于提供综合身心健康护理的有利位置。以南加州科切拉谷一家提供综合服务的初级保健诊所的案例研究，来展示这种急需的护理方法，以解决低收入移民、农民工以及其他无法获得专业护理中心和服务提供者的人群所面临的健康差距。有人认为，心理健康护理应该成为初级保健医生和家庭护士从业者提供的所有整体治疗的一部分。这对课程设置和实践发展具有启示意义。
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