Barriers to the Treatment of Mental Illness in Primary Care Clinics in Israel

被引:12
作者
Ayalon, Liat [1 ]
Karkabi, Khaled [2 ,3 ]
Bleichman, Igor [4 ]
Fleischmann, Silvia [5 ]
Goldfracht, Margalit [3 ,6 ]
机构
[1] Bar Ilan Univ, Sch Social Work, IL-52900 Ramat Gan, Israel
[2] Clalit Hlth Serv, Tel Aviv, Israel
[3] Technion Israel Inst Technol, Haifa, Israel
[4] Clalit Hlth Serv, Med Social Work Dept, Tel Aviv, Israel
[5] Clalit Hlth Serv, Dept Nursing, Tel Aviv, Israel
[6] Headquarters Clalit Hlth Serv, Community Div, Tel Aviv, Israel
关键词
Depression; Anxiety; Primary care; Anti-depressants; Anti-anxiety; Physicians; Integrated care; Psychotropic; Psychotherapy; RANDOMIZED CONTROLLED-TRIAL; COLLABORATIVE CARE; HEALTH-SERVICES; DEPRESSION; ANTIDEPRESSANT; PERSPECTIVES; METAANALYSIS; INTEGRATION; DISORDERS; SEVERITY;
D O I
10.1007/s10488-015-0634-0
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
The present study examined physicians' perceived barriers to the management of mental illness in primary care settings in Israel. Seven focus groups that included a total of 52 primary care Israeli physicians were conducted. Open coding analysis was employed, consisting of constant comparisons within and across interviews. Three major themes emerged: (a) barriers to the management of mental illness at the individual-level, (b) barriers to the management of mental illness at the system-level, and (c) the emotional ramifications that these barriers have on physicians. The findings highlight the parallelism between the experiences of primary care physicians and their patients. The findings also stress the need to attend to physicians' emotional reactions when working with patients who suffer from mental illness and to better structure mental health treatment in primary care.
引用
收藏
页码:231 / 240
页数:10
相关论文
共 50 条
[1]   Gender and biomedical traditional mental health utilization among the Bedouin-Arabs of the Negev [J].
Al-Krenawi, A ;
Graham, JR .
CULTURE MEDICINE AND PSYCHIATRY, 1999, 23 (02) :219-243
[2]   Integration of mental health services into primary care overcomes ethnic disparities in access to mental health services between black and white elderly [J].
Ayalon, Liat ;
Arean, Patricia A. ;
Linkins, Karen ;
Lynch, Marty ;
Estes, Carroll L. .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2007, 15 (10) :906-912
[3]   Between modern and traditional values: Informal mental health help-seeking attitudes according to Israeli Arab women, primary care patients and their providers [J].
Ayalon, Liat ;
Karkabi, Khaled ;
Bleichman, Igor ;
Fleischmann, Silvia ;
Goldfracht, Margalit .
INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY, 2015, 61 (04) :386-393
[4]  
Ayalon L, 2011, PSYCHIAT SERV, V62, P1041, DOI 10.1176/appi.ps.62.9.1041
[5]   Suffering in Silence: Reasons for Not Disclosing Depression in Primary Care [J].
Bell, Robert A. ;
Franks, Peter ;
Duberstein, Paul R. ;
Epstein, Ronald M. ;
Feldman, Mitchell D. ;
Fernandez y Garcia, Erik ;
Kravitz, Richard L. .
ANNALS OF FAMILY MEDICINE, 2011, 9 (05) :439-446
[6]   Gender differences in the knowledge, attitude and practice towards mental health illness in a rapidly developing Arab society [J].
Bener, Abdulbari ;
Ghuloum, Suhaila .
INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY, 2011, 57 (05) :480-486
[7]  
Benzer Justin K, 2012, Depress Res Treat, V2012, P597157, DOI 10.1155/2012/597157
[8]   Loneliness as a specific risk factor for depressive symptoms: Cross-sectional and longitudinal analyses [J].
Cacioppo, JT ;
Hughes, ME ;
Waite, LJ ;
Hawkley, LC ;
Thisted, RA .
PSYCHOLOGY AND AGING, 2006, 21 (01) :140-151
[9]  
Central Bureau of Statistics, 2014, POP POP GROUP
[10]  
Central Bureau of Statistics, 2006, IMM FORM SOV UN DEM