■行为和心理健康状况在美国带来了巨大的挑战,因为美国获得护理的机会有限。家庭医学医生在应对这些挑战方面发挥着至关重要的作用。经常担任行为和精神健康状况的一线临床医生。
这项研究通过差距分析,调查了美国东南部一个主要由10个县组成的农村地区目前的行为和心理健康系统,并调查了该地区家庭医学医生的准备和障碍。
■差距分析结果表明,(1)污名化和缺乏有关行为和心理健康的无障碍教育,(2)分散的资源,(3)无法获得的护理,(4)劳动力短缺和倦怠是该地区糟糕结果的主要驱动因素。调查结果表明,医生觉得准备治疗焦虑和抑郁,但感觉没有准备好控制双相情感障碍,精神分裂症,和物质使用障碍。受访者不同意有行为和精神健康状况的患者有足够的当地资源和转诊选择。缺乏及时的访问,距离,成本/保险状态,受访者都认为这是适当护理的障碍。
■研究结果强调了支持家庭医学医生提高行为和心理保健结果的重要性。初级保健机构中的行为健康整合是改善护理可及性和临床医生准备的有希望的策略。弥合医疗保健成果方面的差距需要共同努力,强化训练,以及家庭医学界的政策宣传,以确保全面和公平的行为和精神保健服务。
UNASSIGNED: Behavioral and mental health conditions present significant challenges in the United States where access to care is limited. Family medicine physicians play a crucial role in addressing these challenges, often serving as frontline clinicians for behavioral and mental health conditions.
UNASSIGNED: This study examined the current behavioral and mental health system in a predominantly rural 10-county region in the Southeastern United States through gap analysis in addition to a survey of preparedness and barriers among family medicine physicians in the region.
UNASSIGNED: Gap analysis results indicated that (1) stigma and lack of accessible education about behavioral and mental health, (2) fragmented resources, (3) inaccessible care, and (4) workforce shortage and burnout were primary drivers of poor outcomes in the region. Survey results indicated that physicians feel prepared to treat anxiety and depression but feel less prepared to manage bipolar disorder, schizophrenia, and substance use disorders. Respondents disagreed that there are adequate local resources and referral options for patients with behavioral and mental health conditions. Lack of timely access, distance, cost/insurance status, were all cited by respondents as barriers to appropriate care.
UNASSIGNED: Findings underscore the importance of supporting family medicine physicians to enhance behavioral and mental healthcare outcomes. Behavioral health integration in primary care settings is a promising strategy to improve care accessibility and clinician preparedness. Bridging gaps in health care outcomes requires collaborative efforts, enhanced training, and policy advocacy within the family medicine community to ensure comprehensive and equitable behavioral and mental healthcare delivery.