Mental Health Provider Perspectives Regarding Integrated Medical Care for Patients with Serious Mental Illness

被引：20

作者：

Kilbourne, Amy M. ^{[1
,2
]}

Greenwald, Devra E. ^{[3
]}

Bauer, Mark S. ^{[4
,5
]}

Charns, Martin P. ^{[4
,6
]}

Yano, Elizabeth M. ^{[7
,8
]}

机构：

[1] VA Ann Arbor Ctr Clin Management Res, Ann Arbor, MI 48105 USA

[2] Univ Michigan, Sch Med, Dept Psychiat, Ann Arbor, MI USA

[3] VA Pittsburgh Ctr Hlth Equ Res & Promot, Pittsburgh, PA USA

[4] VA Boston Ctr Org Management & Leadership Res COL, Boston, MA USA

[5] Harvard Univ, Sch Med, Cambridge, MA 02138 USA

[6] Boston Univ, Sch Publ Hlth, Boston, MA USA

[7] VA Greater Angeles Healthcare Syst, VA Greater Angeles HSR&D, Ctr Excellence Study Healthcare Provider Behav, Los Angeles, CA USA

[8] Univ Calif Los Angeles, Sch Publ Hlth, Dept Hlth Serv, Los Angeles, CA 90024 USA

来源：

ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2012年 / 39卷 / 06期

关键词：

Integrated care; Serious mental illness; Quality of care; QUALITY-OF-CARE; VETERANS; DISORDER; ACCESS; SATISFACTION; INCENTIVES; CONTINUITY; CULTURE; BURDEN; POLICY;

D O I：

10.1007/s10488-011-0365-9

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Integrated care for medical conditions is essential for persons with serious mental illness (SMI). This qualitative study describes mental health provider perspectives regarding barriers and facilitators of integrated care for patients with SMI. We interviewed providers from a national sample of Veterans Health Administration facilities that scored in the top or bottom percentile in medical care quality. Providers from high-performing sites reported substantial in-person contacts with general medical providers, while providers from low-performing sites reported stigma and limited communication with medical providers as major concerns. Interventions to improve mental health and medical provider communication may facilitate integrated care for persons with SMI.

引用

页码：448 / 457

页数：10

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