影响卫生系统教职员工心理健康服务需求认知、自我报告利用率及护理障碍的因素
Factors Influencing Perceived Mental Health Service Needs, Self-Reported Utilization, and Barriers to Care among Health System Faculty and Staff.
作者信息
Khan Aysha, Delgado Andrew, Ali Hira, Ho Scarlett, Doukas Ashley, Klepser Nicklas, Pietrzak Robert H, Faherty Cara, Marin Deborah B, Sharma Vanshdeep, Clark Uraina S, Mohamed Nihal, Charney Dennis S, Ripp Jonathan A, Peccoralo Lauren A, DePierro Jonathan M
机构信息
Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Yale School of Medicine, New Haven, Connecticut, USA.
出版信息
J Occup Environ Med. 2025 Aug 5. doi: 10.1097/JOM.0000000000003518.
OBJECTIVE
This study examines barriers to mental health care and factors influencing perceived need and service use in medical faculty and staff.
METHODS
Faculty and staff at a large urban healthcare system completed online surveys regarding mental health status, perceived need for mental health services, and barriers to access.
RESULTS
The sample included 2,421 participants (44.2% staff; 55.8% faculty). The most common barrier to care was limited time (60.9%). Faculty were significantly more likely than staff to report privacy concerns (33.9% vs. 10.4%). Among those who perceived a need for mental health services, demographic factors (age, race/ethnicity, gender, role, and partner status) and psychiatric symptoms (suicidality, anxiety, depression, and physical violence) were associated with not utilizing mental health services.
CONCLUSIONS
indings highlight the need for accessible, destigmatized mental health interventions, improved outreach, and education on healthcare worker treatment privacy.
目的
本研究探讨了医疗教职员工心理健康护理的障碍以及影响其感知需求和服务使用的因素。
方法
一家大型城市医疗系统的教职员工完成了关于心理健康状况、心理健康服务感知需求和获取障碍的在线调查。
结果
样本包括2421名参与者（44.2%为员工；55.8%为教职员工）。最常见的护理障碍是时间有限（60.9%）。教职员工比员工更有可能报告隐私问题（33.9%对10.4%）。在那些认为需要心理健康服务的人中，人口统计学因素（年龄、种族/民族、性别、角色和伴侣状况）和精神症状（自杀倾向、焦虑、抑郁和身体暴力）与未使用心理健康服务有关。
结论
研究结果强调了需要提供可及的、消除污名化的心理健康干预措施，改善外展服务，并开展关于医护人员治疗隐私的教育。
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