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从身体安康到文化斡旋:剖析同伴服务提供者在综合医疗环境中的角色

From Physical Wellness to Cultural Brokering: Unpacking the Roles of Peer Providers in Integrated Health Care Settings.

作者信息

Siantz Elizabeth, Henwood Benjamin, Baezcondi-Garbanati Lourdes

机构信息

Department of Family Medicine and Public Health, University of California, San Diego, 9500 Gilman Drive #0622, La Jolla, CA, 92093-0901, USA.

Suzanne Dworak-Peck School of Social Work, University of Southern California, 1149 S. Hill St., 14th Floor, Los Angeles, CA, 90026, USA.

出版信息

Community Ment Health J. 2018 Nov;54(8):1127-1135. doi: 10.1007/s10597-018-0320-2. Epub 2018 Aug 14.

Abstract

This qualitative study explored peer provider experiences working in newly integrated mental health and primary care pilot programs within a large public mental health system. Nineteen peer providers participated in semistructured interviews that focused on experiences delivering care within integrated teams. Interviews were analyzed using constant comparative methods informed by grounded theory. Findings were organized into three themes that speak to variation in the definition and function of peers; lack of clarity in the peer role; and relating to other providers. Integrated settings need ongoing support to ensure clarity in the peer role and an inclusive work environment.

摘要

这项定性研究探讨了同伴提供者在一个大型公共心理健康系统内新整合的心理健康与初级保健试点项目中的工作经历。19名同伴提供者参与了半结构化访谈,访谈聚焦于在整合团队中提供护理的经历。访谈采用扎根理论指导的持续比较法进行分析。研究结果归纳为三个主题,分别涉及同伴定义和功能的差异、同伴角色不明确以及与其他提供者的关系。整合环境需要持续的支持,以确保同伴角色清晰和营造包容的工作环境。

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