Devine Mathew, DeCaporale-Ryan Lauren, Lim Magdalene, Berenyi Juliana
Department of Family Medicine, University of Rochester, 777 South Clinton Avenue, Rochester, NY 14620, USA; Accountable Health Partners, 135 Corporate Woods Suite 320, Rochester, NY 14623, USA.
Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Boulevard, Box Psych, Rochester, NY 14642, USA; Department of Medicine, University of Rochester Medical Center, 300 Crittenden Boulevard, Box Psych, Rochester, NY 14642, USA; Department of Surgery, University of Rochester Medical Center, 300 Crittenden Boulevard, Box Psych, Rochester, NY 14642, USA.
Prim Care. 2017 Mar;44(1):99-112. doi: 10.1016/j.pop.2016.09.012. Epub 2017 Jan 2.
The US population has a subset of those that are underserved who are in need of primary care and also suffer from mental health disorders. In this article, categories of underserved populations are described. Each section defines the population being presented, identifies the mental health problems each is likely to encounter, explores the barriers that prevent access to care, and identifies potential methods to minimize such barriers. The ways in which psychiatric issues vary in underserved settings compared with the general population are differentiated. Recommendations are offered for primary care physicians to support improved recognition and management of psychosocial stressors and psychiatric illness among the underserved.
美国人口中有一部分得不到充分服务的人群，他们需要初级保健，同时还患有精神健康障碍。本文描述了得不到充分服务人群的类别。每个部分都定义了所介绍的人群，确定了他们可能遇到的心理健康问题，探讨了阻碍获得护理的障碍，并确定了尽量减少此类障碍的潜在方法。区分了与普通人群相比，得不到充分服务的环境中心理问题的不同之处。为初级保健医生提供了建议，以支持在得不到充分服务的人群中更好地识别和管理社会心理压力源及精神疾病。
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