Continuity of Care in Mental Health Services: Toward Clarifying the Construct

被引：37

作者：

Joyce, Anthony S. ^{[1
]}

Wild, T. Cameron ^{[2
,3
,4
]}

Adair, Carol E. ^{[5
,6
]}

McDougall, Gerald M. ^{[6
]}

Gordon, Alan ^{[1
,7
]}

Costigan, Norman ^{[1
]}

Beckie, Anora

Kowalsky, Laura ^{[8
]}

Pasmeny, Gloria ^{[9
]}

Barnes, Fran ^{[8
]}

机构：

[1] Univ Alberta, Dept Psychiat, Edmonton, AB, Canada

[2] Univ Alberta, Dept Publ Hlth Sci, Edmonton, AB, Canada

[3] Univ Alberta, Ctr Hlth Promot Studies, Edmonton, AB, Canada

[4] Ctr Addict & Mental Hlth, Toronto, ON, Canada

[5] Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada

[6] Univ Calgary, Dept Psychiat, Calgary, AB, Canada

[7] Edmonton Mental Hlth Clin, Edmonton, AB, Canada

[8] Alberta Mental Hlth Board, Calgary, AB, Canada

[9] Alberta Mental Hlth Board, Edmonton, AB, Canada

来源：

CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE | 2004年 / 49卷 / 08期

关键词：

continuity of care; mental health services; severe and persistent mental illness; perceptions of service provision;

D O I：

10.1177/070674370404900805

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: To clarify "continuity of care" (COC), a construct associated with the delivery of services for persons suffering from severe and persistent mental illness (SPMI), with attention to the service recipient's perception of COC. Method: The study involved a systematic appraisal of the literature on COC, supplemented by interviews with 36 SPMI patients and their families. Statements highlighting attributes of COC were extracted from both sources. Results: Comments by patients and families corresponded to descriptions of COC in the mental health literature. Attribute classifications by independent teams of judges showed good consistency. The following 4 attribute domains of the COC construct were identified: service delivery, accessibility, relationship base, and individualized care. Conclusions: Service recipients' perceptions of COC overlapped with representations of the construct in the mental health literature. The qualitative inquiry resulted in a draft, 47-item, self-report questionnaire for use in studies of interventions designed to facilitate COC.

引用

页码：539 / 550

页数：12

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