Primary Health Care Experiences of Hispanics with Serious Mental Illness: A Mixed-Methods Study
Primary Health Care Experiences of Hispanics with Serious Mental Illness: A Mixed-Methods Study
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DOI：
10.1007/s10488-013-0524-2
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发表时间：
2014-11-01
影响因子：
2.6
通讯作者：
Lewis-Fernandez, Roberto
中科院分区：
文献类型：
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作者：
Cabassa, Leopoldo J.;Gomes, Arminda P.;Lewis-Fernandez, Roberto
这项混合方法的研究考察了患有严重精神疾病的西班牙裔患者的初级卫生保健经历。从一家门诊精神卫生诊所招募了40名患者。参与者报告了在接受医疗护理时感觉到的歧视和污名的组合。他们将慢性病护理的质量评为糟糕，并报告自我效能感和患者活跃度较低。这些指标与患者如何看待他们与初级保健提供者的关系呈正相关。一个扎根的模型被开发来描述影响参与者初级保健体验的结构、社会和人际过程。
This mixed-methods study examines the primary health care experiences of Hispanic patients with serious mental illness. Forty patients were recruited from an outpatient mental health clinic. Participants reported a combination of perceived discrimination and stigmatization when receiving medical care. They rated the quality of chronic illness care as poor and reported low levels of self-efficacy and patient activation. These indicators were positively associated with how patients viewed their relationships with primary care providers. A grounded model was developed to describe the structural, social, and interpersonal processes that shaped participants' primary care experiences.