Cancer care for people with mental disorders: A qualitative survey among cancer care and psychiatric care professionals in Japan
Cancer care for people with mental disorders: A qualitative survey among cancer care and psychiatric care professionals in Japan
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对精神障碍患者的癌症护理：日本癌症护理和精神科护理专业人员的定性调查
作者：
Etoh Tsuyoshi;Fujiwara Masaki;Yamada Yuto;Wada Riho;Higuchi Yuji;Inoue Shinichiro;Kodama Masafumi;Matsushita Takanori;Yoshimura Yusaku;Horii Shigeo;Fujimori Maiko;Kakeda Kyoko;Shimazu Taichi;Nakaya Naoki;Tabata Masahiro;Uchitomi Yosuke;Yamada Norihito;Ina
人们普遍认为，有多个层面（从个人到政策层面）的问题，涉及精神障碍患者的癌症护理差异。然而，很少有研究全面调查的问题，认为由医疗专业人员。本研究的目的是确定一个广泛的问题，在癌症护理的人与精神疾病，并提供相应的解决方案，为癌症护理专业人员和精神病护理professionals.MethodsWe分发开放式问卷754医疗专业人员在各种医疗设施，包括指定的癌症医院，精神病医院，和其他地方医疗/福利设施。参与者被要求描述的问题，在癌症护理的人与精神disorders.ResultsOf 754招募的专业人士，439（58.2%）回答了问卷。61个问题被提取并分为10类：患者因素;孤立和缺乏支持;交通障碍;社会经济因素;精神病专业人员的态度;精神病医院的医疗系统;癌症护理专业人员的态度;指定癌症医院的医疗系统;区域癌症医疗系统;以及多学科医疗保健专业人员之间缺乏协调。48个具体的解决方案被总结为12个goals.ConclusionsThe本研究广泛确定的问题，造成差异的癌症护理精神障碍患者。我们发现，这些问题从患者层面延伸到了公共政策层面。我们的研究结果表明，需要一个多学科的方法，包括癌症和精神病护理专业人员，以解决差距在癌症护理的精神障碍的人。
ObjectiveIt is widely assumed that there are multiple levels (from individual to policy level) of problems involving disparities in cancer care for people with mental disorders. However, few studies have comprehensively investigated issues as perceived by medical professionals. The purpose of the present study was to identify a wide range of issues in cancer care for people with mental disorders and offer corresponding solutions for both cancer care professionals and psychiatric care professionals.MethodsWe distributed open‐ended questionnaires to 754 healthcare professionals in various medical facilities, including designated cancer hospitals, psychiatric hospitals, and other local healthcare/welfare facilities. Participants were asked to describe issues in cancer care for people with mental disorders.ResultsOf the 754 recruited professionals, 439 (58.2%) responded to the questionnaire. Sixty‐one issues were extracted and categorized into 10 categories: patient factors; isolation and lack of support; obstacles to transport; socioeconomic factors; attitudes of psychiatric professionals; medical system of psychiatric hospitals; attitudes of cancer care professionals; medical system of designated cancer hospitals; regional cancer medical systems; and lack of coordination among multidisciplinary healthcare professionals. Forty‐eight specific solutions were summarized into 12 goals.ConclusionsThe present study widely identified issues causing disparities in cancer care for patients with mental disorders. We found that the issues extended from the patient level to the public‐policy level. Our findings suggest the need for a multidisciplinary approach that includes both cancer and psychiatric care professionals to address the gap in cancer care for people with mental disorders.
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DOI：
10.1016/s1470-2045(10)70085-1
发表时间：
2010-08-01
期刊：
The Lancet. Oncology
影响因子：
--
作者：
Howard, Louise M;Barley, Elizabeth A;Thornicroft, Graham
通讯作者：
Thornicroft, Graham
影响因子：
4.5
作者：
Toender, A.;Munk-Olsen, T.;Laursen, T. M.
通讯作者：
Laursen, T. M.
影响因子：
10.5
作者：
Ishikawa, Hanako;Yasunaga, Hideo;Kawakami, Norito
通讯作者：
Kawakami, Norito
日本有多少长期住院的精神分裂症患者可以出院
DOI：
--
发表时间：
2007
期刊：
Psychiatry and Clinical Neuroscience
影响因子：
--
作者：
Oshima I;Mino Y;Inomata Y
通讯作者：
Inomata Y
影响因子：
4.4
作者：
Okayama T;Usuda K;Okazaki E;Yamanouchi Y
通讯作者：
Yamanouchi Y