Curbow B, Khoury A J, Weisman C S
Department of Health Policy and Management, Johns Hopkins University, Baltimore, MD 21205, USA.
Womens Health. 1998 Spring;4(1):71-91.
Women's health centers are often associated with a comprehensive model of health care that treats the "whole woman." Using data from a nationwide study of 467 women's health centers, we explored how the ideal of comprehensive care was implemented with respect to mental health services. Specifically, we examined the rates of screening and treatment for a subset of mental health and behavioral and social problems in women's health centers and the structural, staffing, philosophical, and patient factors associated with the provision of services. Across 12 services, the overall rates of provision ranged from 7.7% for screening for dementing disorders to 27.6% for smoking cessation counseling and treatment. In a series of logistic regressions, center type (primary care) and having a mental health staff person were consistently associated with service provision; other important variables were having a high percentage of women using the center as their usual source of care and having a belief in women-centered care. Findings indicate that the majority of women using women's health centers do not receive services in a comprehensive care environment that includes key mental health services.
妇女健康中心通常与一种治疗“完整女性”的全面医疗模式相关联。利用一项对467家妇女健康中心的全国性研究数据，我们探讨了全面护理理念在心理健康服务方面是如何实施的。具体而言，我们研究了妇女健康中心针对一部分心理健康、行为和社会问题的筛查和治疗率，以及与服务提供相关的结构、人员配备、理念和患者因素。在12项服务中，提供率总体范围从痴呆症筛查的7.7%到戒烟咨询与治疗的27.6%。在一系列逻辑回归分析中，中心类型（初级保健）和有一名心理健康工作人员始终与服务提供相关；其他重要变量包括有高比例的女性将该中心作为其常规护理来源，以及秉持以女性为中心的护理理念。研究结果表明，大多数使用妇女健康中心的女性并未在包括关键心理健康服务的全面护理环境中接受服务。
