Abstract：
BACKGROUND: Persons living with HIV/AIDS (PLWHA) are understudied and underserved with respect to both dental and mental health services. The coexistence of psychiatric and dental problems in PLWHA leads to more complex diagnostic assessments and treatments compared to the general population. The aim of the present study was to identify relevant themes from the perspectives of important stakeholders regarding the barriers to and facilitators of patient referral to these services.
METHODS: Semi-structured Key Informant Interviews (KIIs) were conducted with nine program directors and other key staff from New York State HIV clinics to examine barriers to and facilitators of successful dental and mental health referrals and factors that affect patient motivation.
RESULTS: Primary themes crystalized around dental and mental health referral, subject knowledge and perspective, patient barriers, and strategies to overcome barriers. Identified barriers included mental health and HIV status stigma, social determinants of health, fear, disconnectedness, and inconsistent access for dental care. Facilitators identified included case management, integrated one-stop-shop care, and interprofessional awareness and collaboration. Potential patient motivators included process improvement strategies such as transportation support, case management, incentives, and building trust.
CONCLUSIONS: Specific strategies to facilitate patient motivation such as care coordination and interprofessional collaboration is useful for improving dental and mental health referrals.
METHODS: Semi-structured Key Informant Interviews (KIIs) were conducted with nine program directors and other key staff from New York State HIV clinics to examine barriers to and facilitators of successful dental and mental health referrals and factors that affect patient motivation.
RESULTS: Primary themes crystalized around dental and mental health referral, subject knowledge and perspective, patient barriers, and strategies to overcome barriers. Identified barriers included mental health and HIV status stigma, social determinants of health, fear, disconnectedness, and inconsistent access for dental care. Facilitators identified included case management, integrated one-stop-shop care, and interprofessional awareness and collaboration. Potential patient motivators included process improvement strategies such as transportation support, case management, incentives, and building trust.
CONCLUSIONS: Specific strategies to facilitate patient motivation such as care coordination and interprofessional collaboration is useful for improving dental and mental health referrals.
摘要：
背景：在牙科和精神卫生服务方面，艾滋病毒/艾滋病感染者（PLWHA）的研究不足和服务不足。与普通人群相比，PLWHA中精神病和牙科问题的共存导致更复杂的诊断评估和治疗。本研究的目的是从重要利益相关者的角度确定相关主题，以了解患者转诊这些服务的障碍和促进者。
方法：与纽约州HIV诊所的9名项目主管和其他关键工作人员进行了半结构化关键信息访谈（KII），以检查成功的牙科和心理健康推荐的障碍和促进者以及影响患者动机的因素。
结果：主要主题围绕牙科和心理健康转诊，学科知识和观点，病人的障碍,以及克服障碍的策略。确定的障碍包括心理健康和艾滋病毒状况的耻辱，健康的社会决定因素，恐惧,断开连接，和不一致的牙科护理。确定的调解人包括案例管理，综合一站式护理，以及跨专业意识和协作。潜在的患者激励因素包括过程改进策略，如运输支持、案件管理,激励机制，和建立信任。
结论：促进患者动机的具体策略，如护理协调和跨专业合作，对改善牙科和心理健康转诊很有用。
方法：与纽约州HIV诊所的9名项目主管和其他关键工作人员进行了半结构化关键信息访谈（KII），以检查成功的牙科和心理健康推荐的障碍和促进者以及影响患者动机的因素。
结果：主要主题围绕牙科和心理健康转诊，学科知识和观点，病人的障碍,以及克服障碍的策略。确定的障碍包括心理健康和艾滋病毒状况的耻辱，健康的社会决定因素，恐惧,断开连接，和不一致的牙科护理。确定的调解人包括案例管理，综合一站式护理，以及跨专业意识和协作。潜在的患者激励因素包括过程改进策略，如运输支持、案件管理,激励机制，和建立信任。
结论：促进患者动机的具体策略，如护理协调和跨专业合作，对改善牙科和心理健康转诊很有用。
