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Published on: September 26, 2018
Psychiatric and primary care professionals’ suggestions for reducing cardiovascular risks for psychiatric patients
Frédéric Denis1, Nicolas Meunier-Beillard2, Marie Costa3
1Centre hospitalier universitaire de Tours – Tours – France. EA-75-05 Éducation Éthique Santé, Université de Tours – Tours – France.
Insights
Cardiovascular diseases are a major cause of mortality in individuals with long-term mental disorders (LTMD). This study identifies needs for better managing cardiovascular risk (CVR) in this population.
Area of Science:
- Medical sociology
- Psychiatry
- Public Health
Context:
- Cardiovascular diseases (CVD) are a leading cause of mortality in France.
- CVD is the primary cause of excess mortality in individuals with long-term mental disorders (LTMD), excluding suicide-related deaths.
- Effective management of cardiovascular risk (CVR) is crucial for this vulnerable population.
Purpose:
- To identify the expectations and needs of psychiatric users regarding CVR management.
- To understand the perspectives of primary care and psychiatric professionals on improving CVR management for LTMD patients.
- To inform the development of targeted interventions for better healthcare coordination and CVR reduction.
Summary:
- A qualitative study involving 30 psychiatric and 26 primary care professionals explored patient needs for managing cardiovascular risk in individuals with long-term mental disorders (LTMD).
- Psychiatric professionals emphasized the need for better coordination with out-of-hospital care, respecting psychiatric specificities.
- Primary care professionals expressed a desire for increased knowledge about psychiatric disorders and treatments to better manage patients with specific needs.
Impact:
- Findings will inform the development of appropriate interventions to effectively reduce cardiovascular risk in people with LTMD.
- Improved understanding between psychiatric and primary care professionals can enhance patient care and outcomes.
- Addressing the specific needs of LTMD patients can lead to significant improvements in managing their cardiovascular health.
Introduction:
Cardiovascular diseases represent one of the major causes of mortality in France and are the main cause of excess mortality in people suffering from long-term mental disorders (LTMD), apart from causes related to suicide.
Aim Of The Study:
The aim of this article is to identify, from the point of view of primary care and psychiatric professionals, psychiatric users’ expectations and needs in order to help them improve their medical and paramedical management of cardiovascular risk (CVR).
Method:
This is a prospective, multi-centered qualitative study carried out in two phases: An exploratory phase, with individual interviews at the beginning of the study to enable the creation of ad hoc collective interview grids, followed by a proper qualitative study, which is in line with medical anthropology and the sociology of health systems.
Results:
The 30 psychiatric professionals interviewed agreed on the need for better coordination with out-of-hospital care providers. Even if openness is advocated, there is a reminder of the specificities of psychiatry and the importance of taking these specificities into account in general. The 26 primary care professionals show a desire to learn more about psychiatric disorders, pathologies, and treatments in order to facilitate the management of these patients with specific needs.
Conclusion:
The cross-referencing of these results will allow to propose an appropriate intervention in order to induce convincing effects on the reduction of the CVR in people suffering from LTMD.
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