scholarly journals Effects of primary care clinician beliefs and perceived organizational facilitators on the delivery of preventive care to individuals with mental illnesses

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Bobbi Jo H. Yarborough ◽  
Scott P. Stumbo ◽  
Nancy A. Perrin ◽  
Ginger C. Hanson ◽  
John Muench ◽  
...  
Keyword(s):  
Primary Care ◽  
Preventive Care ◽  
Mental Illnesses ◽  
Primary Care Clinician ◽  
Clinician Beliefs

scholarly journals Disparities in the Use of General Somatic Care among Individuals Treated for Severe Mental Disorders and the General Population in France

2020 ◽  
Vol 17 (10) ◽  
pp. 3367 ◽  
Author(s):  
Coralie Gandré ◽  
Magali Coldefy
Keyword(s):  
Primary Care ◽  
General Population ◽  
Preventive Care ◽  
Primary Care Physicians ◽  
Healthcare Access ◽  
Living Environment ◽  
Mental Illnesses ◽  
Avoidable Hospitalizations ◽  
Care Services ◽  
Preventive Care Services

Individuals with severe mental illnesses (SMI) face a striking excess and premature mortality which has been demonstrated in several national contexts. This phenomenon, which constitutes a red-flag indicator of public health inequities, can be hypothesized to result from healthcare access issues which have been insufficiently documented so far. In this context, our objective was to explore patterns of general somatic healthcare use of individuals treated for SMI in comparison to those of the general population in France using national health administrative data and a matched case-control study. Differences in the use of general and specific somatic preventive care services, primary care, routine specialized somatic care and admissions to non-psychiatric hospital departments for somatic causes were described between cases and controls after adjustment on differing clinical needs, socio-economic status, and living environment. Our results show a lower use of general preventive care services and of routine specialized somatic care in the SMI population, despite more frequent comorbidities, and a higher occurrence of avoidable hospitalizations, despite higher contacts with primary care physicians. These findings suggest that the health system fails to address the specific needs of this vulnerable population and support the development of measures aimed at reducing this gap.

Does Having a Regular Primary Care Clinician Improve Quality of Preventive Care for Young Children?

Medical Care ◽  
2008 ◽  
Vol 46 (3) ◽  
pp. 323-330 ◽  
Author(s):  
Moira Inkelas ◽  
Paul W. Newacheck ◽  
Lynn M. Olson ◽  
Barry Zuckerman ◽  
Mark A. Schuster
Keyword(s):  
Primary Care ◽  
Young Children ◽  
Preventive Care ◽  
Improve Quality ◽  
Primary Care Clinician

scholarly journals The association between the receipt of primary care clinician provision of preventive care and short term health behaviour change

2019 ◽  
Vol 123 ◽  
pp. 308-315 ◽  
Author(s):  
Kate Bartlem ◽  
Luke Wolfenden ◽  
Kim Colyvas ◽  
Libby Campbell ◽  
Megan Freund ◽  
...  
Keyword(s):  
Primary Care ◽  
Behaviour Change ◽  
Preventive Care ◽  
Health Behaviour ◽  
Primary Care Clinician ◽  
Short Term ◽  
Health Behaviour Change

scholarly journals Perspectives on Providing And Receiving Preventive Health Care From Primary Care Providers and Their Patients With Mental Illnesses

2018 ◽  
Vol 32 (8) ◽  
pp. 1730-1739 ◽  
Author(s):  
Scott P. Stumbo ◽  
Bobbi Jo H. Yarborough ◽  
Micah T. Yarborough ◽  
Carla A. Green
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Population ◽  
Behavioral Health ◽  
Preventive Care ◽  
Preventive Health Care ◽  
Primary Care Providers ◽  
Safety Net ◽  
Mental Illnesses ◽  
Care Providers

Purpose: Individuals with mental illnesses have higher morbidity rates and reduced life expectancy compared to the general population. Understanding how patients and providers perceive the need for prevention, as well as the barriers and beliefs that may contribute to insufficient care, are important for improving service delivery tailored to this population. Design: Cross-sectional; mixed methods. Setting: An integrated health system and a network of federally qualified health centers and safety net clinics. Participants: Interviews (n = 30) and surveys (n = 249) with primary care providers. Interviews (n = 158) and surveys (n = 160) with patients diagnosed with schizophrenia, bipolar, anxiety, or major depressive disorders. Measures: Semi-structured interviews and surveys. Analysis: Thematic analysis for qualitative data; frequencies for quantitative data. Results: More than half (n = 131, 53%) of clinicians believed patients with mental illnesses care less about preventive care than the general population, yet 88% (n = 139) of patients reported interest in improving health. Most providers (n = 216, 88%) lacked confidence that patients with mental illnesses would follow preventive recommendations; 82% (n = 129) of patients reported they would try to change lifestyles if their doctor recommended. Clinicians explained that their perception of patients’ chaotic lives and lack of interest in preventive care contributed to their fatalistic attitudes on care delivery to this population. Clinicians and patients agreed on substantial need for additional support for behavior changes. Clinicians reported providing informational support by keeping messages simple; patients reported a desire for more detailed information on reasons to complete preventive care. Patients also detailed the need for assistive and tangible support to manage behavioral health changes. Conclusions: Our results suggest a few clinical changes could help patients complete preventive care recommendations and improve health behaviors: improving clinician–patient collaboration on realistic goal setting, increasing visit time or utilizing behavioral health consultants that bridge primary and specialty mental health care, and increasing educational and tangible patient support services.

scholarly journals Advances in psychiatric treatment in primary care

2001 ◽  
Vol 7 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Christopher Dowrick
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
National Health Service ◽  
Health Service ◽  
Health Professionals ◽  
Depressive Disorders ◽  
Mental Health Problems ◽  
Psychiatric Treatment ◽  
Mental Illnesses ◽  
Breaking Work

Following ground-breaking work by Shepherd et al (1966) and, more recently, Goldberg & Huxley (1992), primary care is now recognised as the arena in which most contact occurs between the National Health Service (NHS) and people with mental health problems. General practitioners (GPs) remain the first, and in many cases the only, health professionals involved in the management of a whole range of conditions, from common anxiety and depressive disorders to severe and enduring mental illnesses.

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