Reiss Michael, Greene Carolyn A, Ford Julian D
Psychology Department, University of Hartford, 200 Bloomfield Avenue, West Hartford, CT, 06117, USA.
Department of Psychiatry, UConn Health, 263 Farmington Avenue, Farmington, CT, 06030, USA.
Soc Sci Med. 2017 Feb;175:66-71. doi: 10.1016/j.socscimed.2016.12.036. Epub 2016 Dec 27.
Communication between pediatric mental health and primary care providers is often inconsistent and frequently rated as unsatisfactory by providers of both disciplines. While numerous studies report pediatricians' desire for increased feedback from mental health providers, less is known about mental health providers' perspectives on collaborative communication with pediatricians. In the current qualitative study, 9 practitioners at 2 mental health practices participated in interviews about their experiences related to collaborating and communicating with pediatric providers. The interviews were analyzed inductively using thematic analysis procedures. Mental health providers consistently described the decision to communicate with pediatric primary care providers as occurring primarily when initiated by them, and on a "case by case" basis. Four determinants of the decision to initiate communication emerged from the interviews: severity of client concerns, mental health providers' own positive beliefs about collaborative/integrative mental health-pediatric care, perceptions of and past experiences with the primary care providers with whom they interact, and professional relationships with specific primary care providers. The findings of this study suggest that understanding and addressing the attitudes and beliefs that underlie both mental health and pediatric health care providers' decisions to engage in interprofessional communication is essential to establishing truly collaborative care.
儿科心理健康与初级保健提供者之间的沟通往往不一致，且两个学科的提供者都经常认为这种沟通不尽人意。虽然众多研究报告了儿科医生希望获得心理健康提供者更多反馈的愿望，但对于心理健康提供者对与儿科医生进行协作沟通的看法却知之甚少。在当前的定性研究中，来自两家心理健康机构的9名从业者参与了关于他们与儿科提供者协作和沟通经历的访谈。使用主题分析程序对访谈进行归纳分析。心理健康提供者一致表示，与儿科初级保健提供者沟通的决定主要是在对方发起时，且是“逐案”做出的。访谈中出现了决定发起沟通的四个因素：客户担忧的严重程度、心理健康提供者自身对协作/综合心理健康-儿科护理的积极信念、对与之互动的初级保健提供者的看法和过往经历，以及与特定初级保健提供者的专业关系。这项研究的结果表明，理解并解决心理健康和儿科医疗保健提供者决定进行跨专业沟通背后的态度和信念，对于建立真正的协作护理至关重要。
