Abstract：
Those with serious mental illness (SMI) experience poor health outcomes which may be addressed by the integration of mental health and primary care services. This integration could be enhanced by the inclusion of consumers in the planning process.
This study sought to bring the voice of the consumer with SMI to assist with the integration of primary care and mental health services.
Working with a community advisory board in the City of Philadelphia, we carried out a sequential explanatory mixed-methods study. The team conducted 12 focus groups (n=149) and surveys (n = 137) of consumers with SMI about their experiences of the health care system and perspectives on integrated health. Data from surveys and focus groups were analyzed and integrated.
Three relevant themes emerged: primary care experiences; health care stigma; and social determinants as barriers to health. Generally, individuals with SMI supported the integration of care, with careful consideration given to social determinants of health, patient privacy, and respect between providers and patients.
Integration may reduce health disparities experienced by individuals with SMI, but the process must be informed by intended consumers. Policymakers and administrators will need to address barriers to care, healthcare stigma, and social determinants of health. Nurses are well placed to inform and lead healthcare integration and overcome the siloing of mental and physical healthcare systems.
This study sought to bring the voice of the consumer with SMI to assist with the integration of primary care and mental health services.
Working with a community advisory board in the City of Philadelphia, we carried out a sequential explanatory mixed-methods study. The team conducted 12 focus groups (n=149) and surveys (n = 137) of consumers with SMI about their experiences of the health care system and perspectives on integrated health. Data from surveys and focus groups were analyzed and integrated.
Three relevant themes emerged: primary care experiences; health care stigma; and social determinants as barriers to health. Generally, individuals with SMI supported the integration of care, with careful consideration given to social determinants of health, patient privacy, and respect between providers and patients.
Integration may reduce health disparities experienced by individuals with SMI, but the process must be informed by intended consumers. Policymakers and administrators will need to address barriers to care, healthcare stigma, and social determinants of health. Nurses are well placed to inform and lead healthcare integration and overcome the siloing of mental and physical healthcare systems.
摘要：
患有严重精神疾病（SMI）的人的健康状况较差，可以通过整合心理健康和初级保健服务来解决。通过将消费者纳入计划过程，可以增强这种集成。
这项研究旨在通过SMI传达消费者的声音，以协助整合初级保健和心理健康服务。
与费城的社区顾问委员会合作，我们进行了一项序贯解释性混合方法研究.该团队对SMI的消费者进行了12个焦点小组(n=149)和调查(n=137)，了解他们对医疗保健系统的体验和对综合健康的看法。对来自调查和焦点小组的数据进行了分析和整合。
出现了三个相关主题：初级保健经验；医疗保健耻辱；以及作为健康障碍的社会决定因素。一般来说,拥有SMI的个人支持护理的整合，仔细考虑健康的社会决定因素，患者隐私,以及提供者和患者之间的尊重。
整合可能会减少SMI患者所经历的健康差异，但这个过程必须由预期的消费者告知。政策制定者和管理者将需要解决护理障碍，医疗保健耻辱，和健康的社会决定因素。护士能够很好地告知和领导医疗保健整合，并克服精神和身体医疗保健系统的孤岛。
这项研究旨在通过SMI传达消费者的声音，以协助整合初级保健和心理健康服务。
与费城的社区顾问委员会合作，我们进行了一项序贯解释性混合方法研究.该团队对SMI的消费者进行了12个焦点小组(n=149)和调查(n=137)，了解他们对医疗保健系统的体验和对综合健康的看法。对来自调查和焦点小组的数据进行了分析和整合。
出现了三个相关主题：初级保健经验；医疗保健耻辱；以及作为健康障碍的社会决定因素。一般来说,拥有SMI的个人支持护理的整合，仔细考虑健康的社会决定因素，患者隐私,以及提供者和患者之间的尊重。
整合可能会减少SMI患者所经历的健康差异，但这个过程必须由预期的消费者告知。政策制定者和管理者将需要解决护理障碍，医疗保健耻辱，和健康的社会决定因素。护士能够很好地告知和领导医疗保健整合，并克服精神和身体医疗保健系统的孤岛。
