School of General Practice and Continuing Education, Capital Medical University, Beijing, China.
General Department, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
BMJ Open. 2022 Sep 7;12(9):e062675. doi: 10.1136/bmjopen-2022-062675.
This study aims to investigate the access to family resources by families living with schizophrenia from the perspective of primary care workers in Beijing, and provide evidence for appropriate and effective family resource coordination in primary care.
Qualitative research using individual in-depth interviews to identify the access to family resources by families living with schizophrenia from the perspective of primary care workers.
This study was conducted from September to December 2021 in six urban community health service centres (CHSCs) in Beijing, China.
3 general practitioners and 10 mental health doctors selected by purposive sampling method from 6 CHSCs in urban Beijing were interviewed.
Five themes emerged from the insights of the primary care workers: most family resources are non-targeted for families living with schizophrenia, the publicity of family resources is difficult, burdensome application process of family resources, limited available community-based treatment options and stigma hindering effective communication between families and society.
It is necessary to simplify the application process of family resources and provide primary care workers with systematic training regarding family resources. More family resources and improved public attitudes should be promoted for patients with schizophrenia and their caregivers.
本研究旨在从北京市基层医疗工作者的角度探讨精神分裂症患者家庭可利用的资源，并为基层医疗中适当、有效的家庭资源协调提供依据。
采用个体深入访谈的定性研究方法，从基层医疗工作者的角度了解精神分裂症患者家庭可利用资源的情况。
本研究于 2021 年 9 月至 12 月在北京 6 家城市社区卫生服务中心（CHSCs）进行。
采用目的抽样法，从北京市 6 家城市社区卫生服务中心选取 3 名全科医生和 10 名精神科医生进行访谈。
从基层医疗工作者的观点中得出了 5 个主题：大多数家庭资源并非针对精神分裂症患者家庭，家庭资源的宣传工作困难，家庭资源的申请流程繁琐，社区内可利用的治疗选择有限，以及污名化阻碍了家庭与社会之间的有效沟通。
有必要简化家庭资源的申请流程，并为基层医疗工作者提供有关家庭资源的系统培训。应推广更多的家庭资源和改善公众对精神分裂症患者及其照顾者的态度。
