Identification and Management of Behavioral/Mental Health Problems in Primary Care Pediatrics
Identification and Management of Behavioral/Mental Health Problems in Primary Care Pediatrics
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初级保健儿科行为/心理健康问题的识别和管理
DOI：
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发表时间：
2012
期刊：
影响因子：
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通讯作者：
Elaine F Martin
中科院分区：
文献类型：
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作者：
D. Davis;S. Honaker;V. F. Jones;P. Williams;F. Stocker;Elaine F Martin
本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/心理健康（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。提供了描述性数据。超过90%的受访者表示，他们每月至少看到一名患者患有10种特定B-MH诊断中的1种。医生诊断和治疗疾病的舒适度因诊断、年龄组和药物分类而有很大差异。提供最佳护理的主要障碍是无法获得心理健康专业人员的咨询和转诊，缺乏沟通和缺乏知识。受访者更倾向于咨询和托管模式的综合模式的护理服务。总的来说，作者发现儿科医生正在处理B-MH问题的患者，他们可能没有得到足够的培训。确定了沟通和协作需求。
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.