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[初级卫生保健的观点:新的精神卫生单位有用吗?]

[Viewpoint of the primary health care: are the new units of mental health useful?].

作者信息

Joaquín Mira J, Fernández-Gilino E

机构信息

Servicio Valenciano de Salud.

出版信息

Aten Primaria. 1994 Sep 15;14(4):717-24.

PMID:7803677
Abstract

OBJECTIVES

To assess the impact on primary care of the new mental health units (MHU).

DESIGN

Descriptive study based in a mail survey.

SETTING

Primary care professionals of the Valencian Health Service (Autonomous Valencian Community).

SUBJECTS

847 professionals answered on time (45, 9, 37, 4% were general practitioners, pediatricians, nurses and social workers, respectively).

MEASUREMENTS AND MAIN RESULTS

In this research were assessed the primary care viewpoint about activities, resources and the level of satisfaction with the mental health units. A 15-items survey was used. The results suggest that this new units have improved accessibility, treatments and communication between levels; waiting-time for appointment in child mental health and the number and distribution of resources were the worse aspects. We found a relationship between positive views of MHU and earlier contact with mental disorders or treatment.

CONCLUSIONS

Primary-caregivers can do like referees to evaluate the mental health care. A positive image of these MHU was showed.

摘要

目的

评估新建精神卫生单元(MHU)对初级保健的影响。

设计

基于邮件调查的描述性研究。

地点

巴伦西亚卫生服务机构(巴伦西亚自治区)的初级保健专业人员。

研究对象

847名专业人员按时回复(分别有45.9%、37.4%为全科医生、儿科医生、护士和社会工作者)。

测量指标及主要结果

本研究评估了初级保健对精神卫生单元的活动、资源及满意度水平的看法。采用了一项包含15个条目的调查问卷。结果表明,这些新建单元改善了可及性、治疗及不同层级间的沟通;儿童精神卫生预约等待时间以及资源数量和分布是较差的方面。我们发现对精神卫生单元的积极看法与更早接触精神障碍或接受治疗之间存在关联。

结论

初级保健人员可像裁判一样对精神卫生保健进行评估。这些精神卫生单元展现出了积极形象。

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