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综合初级保健:患者认知与心理健康污名的作用。

Integrated primary care: patient perceptions and the role of mental health stigma.

作者信息

Miller-Matero Lisa R, Khan Shehryar, Thiem Rachel, DeHondt Tiffany, Dubaybo Hala, Moore Daniel

机构信息

Department of Behavioral Health, Henry Ford Health System, Detroit, MI, USA.

Department of Internal Medicine, Henry Ford Health System, Detroit, MI, USA.

出版信息

Prim Health Care Res Dev. 2018 Jun 19;20:e48. doi: 10.1017/S1463423618000403.

Abstract

Some patients are more willing to see a behavioral health provider within primary care. The purpose of this study was to evaluate the patients' perspectives of having access to a psychologist within primary care and to investigate whether mental health stigma affected preferences. In total, 36 patients completed questionnaires after seeing a psychologist in primary care. Patients were satisfied with having a primary care psychologist involved in their care. Most patients were more likely to see the psychologist in primary care and those who preferred this indicated higher levels of mental health stigma. The overarching theme for why patients saw a psychologist in primary care was convenience. Mental health stigma may also have played a role. Results suggest that providing integrated services may reach patients who may not have otherwise sought services in a behavioral health clinic. Findings from this study encourage the continued integration of behavioral health services.

摘要

一些患者更愿意在初级保健机构中看行为健康服务提供者。本研究的目的是评估患者对在初级保健机构中能看心理医生的看法,并调查心理健康污名是否影响了他们的偏好。总共有36名患者在初级保健机构看过心理医生后完成了问卷调查。患者对有初级保健心理医生参与他们的治疗感到满意。大多数患者更有可能在初级保健机构看心理医生,而那些更喜欢这种方式的患者表明心理健康污名程度更高。患者在初级保健机构看心理医生的首要原因是方便。心理健康污名可能也起到了一定作用。结果表明,提供综合服务可能会惠及那些原本不会去行为健康诊所寻求服务的患者。本研究的结果鼓励持续整合行为健康服务。

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