Yu-Lefler Helen Fan, Wendt Minh, Umaña Kelly, Sripipatana Alek
U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Primary Health Care, 5600 Fishers Lane, Rockville, MD, 20852, USA.
Adm Policy Ment Health. 2025 Mar;52(2):346-363. doi: 10.1007/s10488-024-01411-0. Epub 2024 Sep 20.
Timely mental health care prevents more complex and costly psychological problems, particularly for underserved individuals utilizing HRSA-funded health centers. Patient experience with care services and provider interactions may facilitate timely mental health care access. This study explored which elements of patient experience at health centers minimize delayed access to necessary mental health care. We used cross-sectional data on adult patients who needed mental health services from the 2022 Health Center Patient Survey (N = 1039). Multi-variable logistic regression analyses examined the influence of patient experience using measures drawn from the Consumer Assessment of Healthcare Providers and Systems on delayed mental health care, accounting for predisposing, enabling, and need factors. 82% of patients did not cite delayed mental health care. 60% or more of patients reported always or usually receiving responsive and coordinated care, with over 80% reporting always or usually receiving positive provider interactions. Lower odds of delayed mental health care was associated with always getting timely callback during business hours (adjusted odds ratio [aOR]: 0.26; 95% confidence interval [CI]: 0.09, 0.76), and that the provider always listened carefully (aOR: 0.33; CI: 0.14, 0.78), provided easy to understand recommendations (aOR: 0.31, CI: 0.12, 0.79), knew the patient's medical history (aOR: 0.33, CI: 0.15, 0.73), was respectful to the patient (aOR: 0.49, CI: 0.27, 0.90), or was easy to understand (aOR: 0.51, CI: 0.29, 0.88). Care responsiveness and positive provider communication are integral to facilitating timely mental health care access for vulnerable populations with mental health needs.
及时的心理健康护理可预防更复杂且成本更高的心理问题，对于利用卫生资源和服务管理局（HRSA）资助的健康中心的服务不足人群而言尤其如此。患者对护理服务和与医护人员互动的体验可能有助于及时获得心理健康护理。本研究探讨了健康中心患者体验的哪些要素可最大限度减少获得必要心理健康护理的延迟情况。我们使用了来自2022年健康中心患者调查中需要心理健康服务的成年患者的横断面数据（N = 1039）。多变量逻辑回归分析使用了来自医疗服务提供者和系统消费者评估的指标，检验患者体验对延迟心理健康护理的影响，同时考虑了易患因素、促成因素和需求因素。82%的患者未提及心理健康护理延迟情况。60%或更多的患者报告总是或通常能获得响应迅速且协调一致的护理，超过80%的患者报告总是或通常能与医护人员进行积极互动。心理健康护理延迟几率较低与在工作时间总能及时接到回电（调整优势比[aOR]：0.26；95%置信区间[CI]：0.09，0.76）、医护人员总是认真倾听（aOR：0.33；CI：0.14，0.78）、提供易于理解的建议（aOR：0.31，CI：0.12，0.79）、了解患者病史（aOR：0.33，CI：0.15，0.73）、尊重患者（aOR：0.49，CI：0.27，0.90）或易于沟通（aOR：0.51，CI：0.29，0.88）相关。护理响应能力和医护人员的积极沟通对于促进有心理健康需求的弱势群体及时获得心理健康护理至关重要。
