为患有严重持续性精神疾病的患者提供初级护理。
Primary care for those with severe and persistent mental illness.
作者信息
Crews C, Batal H, Elasy T, Casper E, Mehler P S
机构信息
University of Colorado Health Sciences Center, Denver, USA.
出版信息
West J Med. 1998 Oct;169(4):245-50.
Abstract
Historically, the medical care of persons with severe and persistent mental illness (SPMI) has been suboptimal. In many communities, large gaps exist in the continuum of services necessary to meet the medical needs of those patients, and existing services are not well coordinated. The effect of the managed mental health care on patients with SPMI remains to be seen, but it does not bode well for patients who are already at risk for being undertreated. We initiated primary care clinics exclusively for patients with SPMI because of our belief that integrating primary care and mental health services offers the best hope of improving health care for those patients. Our experience to date is instructive for other health care systems.
摘要
从历史上看，对重度持续性精神疾病（SPMI）患者的医疗护理一直不尽人意。在许多社区，满足这些患者医疗需求所需的连续服务存在很大差距，而且现有服务协调不佳。管理式精神卫生保健对SPMI患者的影响还有待观察，但这对那些本就有治疗不足风险的患者而言并非好兆头。我们专门为SPMI患者开设了初级保健诊所，因为我们相信将初级保健和精神卫生服务相结合为改善这些患者的医疗保健提供了最大希望。我们目前的经验对其他医疗保健系统具有借鉴意义。
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