Identification and Management of Behavioral/Mental Health Problems in Primary Care Pediatrics: Perceived Strengths, Challenges, and New Delivery Models
Identification and Management of Behavioral/Mental Health Problems in Primary Care Pediatrics: Perceived Strengths, Challenges, and New Delivery Models
复制标题
DOI：
10.1177/0009922812441667
复制
发表时间：
2012-10-01
影响因子：
1.6
通讯作者：
Martin, Elaine
中科院分区：
文献类型：
--
作者：
Davis, Deborah Winders;Honaker, Sarah M.;Martin, Elaine
这项研究描述了肯塔基州儿科医生在初级保健环境中提供行为/精神健康(B-MH)服务的经验和障碍。这些数据将作为改善服务提供的基础。70名儿科医生完成了一项在线调查。给出了描述性数据。超过90%的受访者表示，他们每月至少看一名确诊为B-MH的患者。医生对诊断和治疗疾病的舒适度因诊断、年龄组和药物分类的不同而有很大差异。提供最佳护理的主要障碍是无法接触到精神卫生专业人员进行咨询和转介，缺乏沟通，以及缺乏知识。受访者更倾向于咨询和代管模式，而不是一体化的护理提供模式。总体而言，作者发现，儿科医生正在处理患有B-MH问题的患者，他们可能没有接受过充分的培训。确定了通信和协作需求。
This study describes the experiences of and barriers for pediatricians in Kentucky in providing behavioral/mental health (B-MH) services in primary care settings. These data will serve as a foundation for improving service delivery. An online survey was completed by 70 pediatricians. Descriptive data are presented. More than 90% of the respondents said that they saw at least one patient a month with 1 of 10 specific B-MH diagnoses. Physicians' comfort with diagnosing and treating disorders varied widely by diagnosis, age-group, and drug classification. Major barriers to providing optimal care were inaccessibility of mental health professionals for consultation and referral, lack of communication, and lack of knowledge. Respondents were more likely to favor consultation and co-location models over an integration model of care delivery. Overall, the authors found that pediatricians are dealing with patients with B-MH problems for which they may not have been adequately trained. Communication and collaboration needs were identified.