Interventions to Promote the Utilization of Physical Health Care for People with Severe Mental Illness: A Scoping Review

被引:9
作者
Strunz, Michael [1 ]
Jimenez, Naomi Pua'nani [1 ]
Gregorius, Lisa [2 ]
Hewer, Walter [3 ]
Pollmanns, Johannes [4 ]
Viehmann, Kerstin [5 ]
Jacobi, Frank [1 ]
机构
[1] Psychol Hsch Berlin, D-10179 Berlin, Germany
[2] Heinrich Heine Univ Duesseldorf, Inst Hlth Serv Res & Hlth Econ, German Diabet Ctr, Leibniz Ctr Diabet Res, D-40225 Dusseldorf, Germany
[3] Klinikum Christophsbad, D-73035 Goppingen, Germany
[4] Kassenarztl Vereinigung Nordrhein, D-40182 Dusseldorf, Germany
[5] Heinrich Heine Univ Duesseldorf, Inst Hlth Serv Res & Hlth Econ, Ctr Hlth & Soc, Med Fac, D-40225 Dusseldorf, Germany
关键词
severe mental illness (SMI); physical health promotion; utilization of health care; access to health care; collaborative care; integrated care; RANDOMIZED CONTROLLED-TRIAL; SELF-MANAGEMENT INTERVENTIONS; CARDIOVASCULAR-DISEASE RISK; WELL-BEING PROGRAM; COLLABORATIVE CARE; BIPOLAR DISORDER; MEDICAL-CARE; REDUCING RISK; OLDER-ADULTS; FOLLOW-UP;
D O I
10.3390/ijerph20010126
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Background: The main contributor to excess mortality in severe mental illness (SMI) is poor physical health. Causes include unfavorable health behaviors among people with SMI, stigmatization phenomena, as well as limited access to and utilization of physical health care. Patient centered interventions to promote the utilization of and access to existing physical health care facilities may be a pragmatic and cost-effective approach to improve health equity in this vulnerable and often neglected patient population. Objective/Methods: In this study, we systematically reviewed the international literature on such studies (sources: literature databases, trial-registries, grey literature). Empirical studies (quantitative, qualitative, and mixed methods) of interventions to improve the utilization of and access to medical health care for people with a SMI, were included. Results: We identified 38 studies, described in 51 study publications, and summarized them in terms of type, theoretical rationale, outcome measures, and study author's interpretation of the intervention success. Conclusions: Useful interventions to promote the utilization of physical health care for people with a SMI exist, but still appear to be rare, or at least not supplemented by evaluation studies. The present review provides a map of the evidence and may serve as a starting point for further quantitative effectiveness evaluations of this promising type of behavioral intervention.
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