Sorsa Minna, Greacen Tim, Lehto Juhani, Åstedt-Kurki Päivi
Pirkanmaa Hospital District, Child Psychiatry, Tampere, Finland; University of Tampere, Faculty of Social Sciences, Lääkärinkatu 1, 33014 University of Tampere, Finland.
Établissement Public de Santé Maison Blanche, Laboratoire de Recherche, Paris, France.
Arch Psychiatr Nurs. 2017 Aug;31(4):399-406. doi: 10.1016/j.apnu.2017.04.013. Epub 2017 Apr 23.
The present qualitative study used face-to-face and telephone interviews with service providers in the Tampere area in Finland to describe the provider viewpoint on barriers to care for people with co-occurring disorders. The core barrier concerns the definition and understanding of the problems: client and professional perspectives often differ, and both can be out of step with what the care system actually proposes. Professionals need to take into account contexts with potentially multiple barriers to care. Providers in each local area should examine possible barriers and find solutions together, integrating the client perspective at each step in the process.
本定性研究通过对芬兰坦佩雷地区的服务提供者进行面对面访谈和电话访谈,来描述服务提供者对同时患有多种疾病的患者获得护理的障碍的看法。核心障碍在于对问题的定义和理解:患者和专业人员的观点往往存在差异,而且两者都可能与护理系统实际提出的内容不一致。专业人员需要考虑到可能存在多种护理障碍的情况。每个地区的服务提供者都应共同审视可能存在的障碍并找到解决方案,在过程的每一步都纳入患者的观点。