Galván Jorge, Saavedra Nayelhi, Bartolo Feliciano, Berenzon Shoshana
Epidemiological and Psychosocial Research at the Ramón de la Fuente Muñiz National Institute of Psychiatry, Calzada México-Xochimilco 101. San Lorenzo Huipulco, Tlalpan, C.P.14370, Mexico City, Mexico.
Mental Health at the Federal District Public Health Services, Mexico City, Mexico.
BMC Womens Health. 2017 Aug 31;17(1):70. doi: 10.1186/s12905-017-0423-x.
The recent mental health care reforms in Mexico call for the regular evaluation of the services provided. This involves analyzing the opinions of those who utilize them on a daily basis, particularly women, since they are the main health service users. This study explores the barriers to mental health care perceived by a group of women attending primary care centers.
A qualitative methodological approach was chosen. The participants were purposively selected, using the snowball technique. Semi-structured interviews were analyzed using the thematic analysis.
Three sets of factors representing barriers to care were identified in the participants' discourse. The first is linked to systemic barriers such as a lack of familiarity with the way the service operates, and irregularities in the consultations and appointment schedules that are not always geared to women's needs. The second concerns the social stigma associated with emotional and/or mental disorders and their care while the third involves the characteristics of psychologists and their professional work.
In order to overcome some of the barriers identified, users should be given information on the work of mental health professionals, which would help dispel certain misconceptions and sensitize them to the importance of this type of treatment in achieving overall health. There is also a need to make psychologists aware of the living conditions and socio-cultural context of the women who attend these health facilities.
墨西哥近期的精神卫生保健改革要求对所提供的服务进行定期评估。这涉及分析那些日常使用这些服务的人的意见，尤其是女性，因为她们是主要的卫生服务使用者。本研究探讨了一组前往初级保健中心的女性所感知到的精神卫生保健障碍。
选择了定性研究方法。采用滚雪球技术有目的地选取参与者。使用主题分析法对半结构化访谈进行分析。
在参与者的话语中确定了三组代表护理障碍的因素。第一组与系统性障碍有关，例如对服务运作方式缺乏了解，以及咨询和预约时间表的不规范，这些并不总是符合女性的需求。第二组涉及与情感和/或精神障碍及其护理相关的社会耻辱感，而第三组涉及心理学家的特征及其专业工作。
为了克服所确定的一些障碍，应向使用者提供有关精神卫生专业人员工作的信息，这将有助于消除某些误解，并使他们认识到这种治疗对实现整体健康的重要性。还需要让心理学家了解前往这些卫生机构的女性的生活条件和社会文化背景。
