Faculty of Health Sciences, 4512University of Lethbridge, Lethbridge, AB Canada.
Morinville, AB Canada.
J Child Health Care. 2022 Dec;26(4):548-567. doi: 10.1177/13674935211028694. Epub 2021 Jun 28.
The study objective was to explore the experiences of parents of children (6-17 years) with complex mental healthcare needs in accessing healthcare services in Alberta, Canada. Parents were interviewed using a semi-structured guide with open-ended and probing questions. Interviews were audio recorded and transcribed verbatim. Thematic analysis revealed three main themes: (1) profoundly impacted participants' experience of mental health care due to (a) a lack of a collaborative approach across disciplines in the healthcare system; (b) unavailability of information related to mental health care and (c) a lack of patient-centred care. (2) was difficult due to fragmented services and was hindered by gaps in accessing and receiving care, lack of continuity of care and lack of resources. (3) discussed the emotional challenges, financial burdens, self-advocacy and stigma they experienced in navigating the system. Parents offered insights into potential solutions to these gaps. Parents recommended the creation of a one-stop shop service with a team approach led by a navigator to facilitate and support navigations across healthcare services that work collaboratively across disciplines among healthcare services and across sectors inclusive of social services, education, policing and community programmes.
研究目的是探索加拿大艾伯塔省有复杂精神卫生保健需求的儿童(6-17 岁)的父母在获得医疗保健服务方面的体验。研究采用半结构化访谈指南,对家长进行了访谈,问题为开放式和探究式。访谈进行了录音并逐字记录。主题分析揭示了三个主要主题:(1)由于医疗体系中跨学科缺乏协作方法、心理健康护理相关信息不可用以及缺乏以患者为中心的护理,对参与者的心理健康护理体验产生了深远影响。(2)由于服务碎片化,父母在获取和接受护理方面存在障碍,缺乏连续性,资源不足,导致获取医疗服务变得困难。(3)父母讨论了在系统中导航时所经历的情感挑战、经济负担、自我倡导和耻辱感。父母提供了潜在解决方案的见解,以弥补这些差距。父母建议创建一个一站式服务,采用由导航员领导的团队方法,以促进和支持跨医疗服务的导航,这些服务在医疗服务之间跨学科合作,涵盖社会服务、教育、警务和社区项目等多个部门。