Discrimination in health care against people with mental illness
Discrimination in health care against people with mental illness
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DOI：
10.1080/09540260701278937
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发表时间：
2007-04-01
影响因子：
2.8
通讯作者：
Kassam, Aliya
中科院分区：
文献类型：
--
作者：
Thornicroft, Graham;Rose, Diana;Kassam, Aliya
本文讨论了精神疾病患者的求助比率低和身体保健质量差的相关因素。关于心理健康知识识字率低、对精神疾病患者的负面态度以及认为自己可能患有精神障碍的人不愿寻求帮助的证据进行了审查。精神疾病患者经常报告说，精神卫生工作人员对他们的预后持负面态度，这在一定程度上与“医生偏见”有关。在普通医疗机构中，“诊断遮蔽”似乎很常见，这意味着将身体疾病的症状和体征错误归因于同时存在的精神障碍，从而导致对身体状况的漏诊和虐待。
This paper discusses factors associated with low rates of help-seeking and poorer quality of physical healthcare among people with mental illnesses. Evidence is reviewed on the associations between low rates of mental health literacy, negative attitudes towards people with mental illness, and reluctance to seek help by people who consider that they may have a mental disorder. People with mental illness often report encountering negative attitudes among mental health staff about their prognosis, associated in part with 'physician bias'. 'Diagnostic overshadowing' appears to be common in general health care settings, meaning the misattribution of physical illness signs and symptoms to concurrent mental disorders, leading to underdiagnosis and mistreatment of the physical conditions.