Associate Dean Health Equity and Community Affairs, 1000 Oakland Drive, Kalamazoo, MI 49009, USA.
Western Michigan University Homer Stryker MD School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49009, USA.
Pediatr Clin North Am. 2021 Jun;68(3):651-658. doi: 10.1016/j.pcl.2021.02.013.
The integrated behavioral health care model in primary care has the potential to reduce barriers to care experienced by children and families from ethnic minorities and low socioeconomic status. Limited access to pediatric behavioral health care is a significant problem, with up to 40% of children and adolescents with identified mental disorders and only 30% of them receiving care. Barriers include transportation, insurance, and shortage of specialists. Primary care provider bias, decreased knowledge and feelings of competence, and cultural beliefs and stigma also affect earlier diagnosis and treatment, particularly for Hispanic families with low English proficiency and African Americans.
初级保健中的综合行为健康护理模式有可能减少少数民族和社会经济地位较低的儿童和家庭在获得护理方面所面临的障碍。儿童行为保健服务的可及性有限是一个严重的问题，多达 40%的儿童和青少年患有精神障碍，但只有 30%的儿童和青少年得到了治疗。障碍包括交通、保险以及专科医生的短缺。初级保健提供者的偏见、知识和能力的下降以及文化信仰和耻辱感也会影响到更早的诊断和治疗，尤其是对于英语水平低的西班牙裔家庭和非裔美国人。
