A Qualitative Study Examining the Perceived Barriers and Facilitators to Medical Healthcare Services among Women with a Serious Mental Illness
A Qualitative Study Examining the Perceived Barriers and Facilitators to Medical Healthcare Services among Women with a Serious Mental Illness
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DOI：
10.1016/j.whi.2011.10.001
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发表时间：
2012-03-01
影响因子：
3.2
通讯作者：
Sterk, Claire E.
中科院分区：
文献类型：
--
作者：
Borba, Christina P. C.;DePadilla, Lara;Sterk, Claire E.
目的：本定性研究调查的障碍和促进者之间的妇女获得和利用医疗服务的严重精神疾病（SMI）。方法：一个有目的的样本30个贫困，城市，主要是非洲裔美国妇女诊断的SMI被招募。访谈录有录音，并逐字记录。数据分析是由一个修改后的常数comparison approach.Results：研究结果突出了各种非医疗因素，作为障碍和促进剂，以获得和利用医疗保健服务，如与精神卫生提供者和妇女的社会网络的信任关系。非医疗因素和个人情况似乎是重要的因素影响途径，以医疗服务的妇女与SMI。努力更好地吸引和留住患有重度精神疾病的妇女进入医疗保健，需要更好地承认和纳入妇女生活的更大社会背景。版权所有（C）2012由雅各布妇女健康研究所。爱思唯尔公司出版
Objective: This qualitative study investigates the barriers and facilitators to accessing and utilizing healthcare services among women with a serious mental illness (SMI).Methods: A purposive sample of 30 poor, urban, predominantly African-American women with a diagnosis of an SMI was recruited. Interviews were audio-taped and transcribed verbatim. Data analysis was guided by a modified constant comparison approach.Results: The findings highlight a variety of nonmedical factors that serve as both barriers and facilitators to accessing and utilizing medical healthcare services, such as a trusting relationship with a mental health provider and a women's social network.Conclusion: Nonmedical factors and personal circumstances seem to be important factors influencing pathways to healthcare services among women with an SMI. Efforts to better engage and retain women with an SMI into healthcare will need to better acknowledge and incorporate the larger social context of the women's lives. Copyright (C) 2012 by the Jacobs Institute of Women's Health. Published by Elsevier Inc.