Divergence and integration of identification methods for geriatric mental health disorders in nonspecialized institutions-a qualitative study of service providers from different departments in Shanghai, China.
Divergence and integration of identification methods for geriatric mental health disorders in nonspecialized institutions-a qualitative study of service providers from different departments in Shanghai, China.
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非专科机构老年心理健康障碍识别方法的分化与整合——对上海不同科室服务提供者的质性研究
DOI：
10.1080/13607863.2023.2180798
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发表时间：
2023
影响因子：
3.4
通讯作者：
Chen,Honglin
中科院分区：
文献类型：
--
作者：
Chen,Yan-Yan;Liu,Jiaxin;Chen,Hongtu;He,Yanling;Chen,Honglin
目的全球流行病学证据表明，老年人的精神疾病发病率高，但诊出率低。在中国，服务提供者以不同的方式识别患有精神障碍的老年人。本研究以上海市为例，揭示了非专业机构老年精神健康障碍识别方法的差异，为服务整合提供参考。方法采用目的抽样法，对24名非专科老年精神卫生服务提供者进行半结构化访谈。采访录音在征得同意的情况下被录下来，并转化为逐字的文字记录。对访谈数据进行主题分析。结果卫生保健系统的服务提供者倾向于应用以生物医学为导向的评估，而社会保健系统的服务提供者通常基于选择性注意和人际关系来识别老年人的精神障碍。尽管存在明显的差异，但各种识别机制隐含地趋同——与客户的关系已成为一个重要的考虑因素。结论老年心理健康问题迫切需要正规和非正规护理资源的整合。基于任务迁移的思想，社会识别机制有望成为传统生物医学识别的有益补充。
ObjectivesGlobal epidemiological evidence indicates high rates of mental illness but low rates of diagnosis among older people. In China, service providers identify older adults with mental disorders in varied ways. Taking Shanghai as an example, this study revealed how the identification methods of geriatric mental health disorders in nonspecialized institutions diverge, providing a reference for the integration of services.MethodsA purposive sampling method was adopted to conduct semi-structured interviews with 24 service providers from various nonspecialized geriatric mental health care institutions. Interview audio was recorded with consent and converted into verbatim transcripts. The interview data were analysed thematically.ResultsAlthough service providers from the health care system tended to apply a biomedical-oriented assessment, those from the social care system typically identified mental disorders among older people based on selective attention and interpersonal relationships. Although there are stark differences, the various identification mechanisms implicitly converge—the relationship with clients has become an important consideration.ConclusionGeriatric mental health issues urgently require the integration of formal and informal care resources. Referring to the idea of task transfer, social identification mechanisms are expected to be a useful supplement to traditional biomedical-oriented identification.