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"打破循环":一项定性研究,探讨全科医生对婴儿心理健康的看法

Anna De Natale¹, Sophie Hall², Anne McFadyen³

¹School of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK.

|June 1, 2023

概括

贫困地区的全科医生了解婴儿心理健康 (IMH) 问题,但需要更好的支持. 新的基于社区的IMH服务是必不可少的,整合初级保健和提高专业意识.

科学领域:

公共卫生公共卫生
儿童和青少年精神病学儿童和青少年精神病学
一般的做法一般的做法

背景情况:

贫困地区的婴儿面临更高的儿童不良体验 (ACE) 风险,影响婴儿心理健康 (IMH) 和终身结果.
社会经济贫困与不良童年经历 (ACE) 有关,增加了婴儿心理健康 (IMH) 问题和长期健康问题的风险.
开发婴儿心理健康 (IMH) 服务需要了解利益相关者的不同观点,特别是来自高需要社区的利益相关者的观点.

研究的目的:

探索社会经济贫困地区的全科医生关于婴儿心理健康 (IMH) 的观点和经验.
在面临社会经济挑战的社区中调查全科医生对婴儿心理健康 (IMH) 的理解和参与.
从贫困环境的初级保健医生的角度来看,识别婴儿心理健康 (IMH) 服务提供有效的障碍和促进因素.

主要方法:

定性研究涉及12名来自苏格兰贫困城市社区的11个实践中的全科医生.
通过使用NVivo软件进行半结构面试,并根据Braun和Clarke框架进行主题分析.
对转录的采访进行主题分析,探讨了全科医生对婴儿心理健康 (IMH) 提供和服务发展的看法.

主要成果:

贫困地区的全科医生对婴儿心理健康 (IMH) 问题有着内在的理解,在当前的服务提供中往往没有得到认可.
社区对婴儿心理健康 (IMH) 的看法受到社会经济因素的影响,包括与父母责怪的潜在关联.
一般医生设想改善婴儿心理健康 (IMH) 服务,以更好的连接性和可访问性,以过去的经验为基础,解决当前的缺陷.

结论:

社会经济贫困地区的全科医生对婴儿心理健康 (IMH) 挑战有着重要的洞察力,尽管他们可能不会使用特定的术语"IMH".
显然需要新的,以社区为基础的婴儿心理健康 (IMH) 服务,特别是在贫困地区.
未来的婴儿心理健康 (IMH) 服务必须承认,支持和整合初级保健角色,加强全科医生和医疗保健专业人员的培训.

关键词:

不良的童年经历儿童不良的童年经历一般的做法一般的做法.婴儿健康婴儿健康心理健康心理健康定性研究是指质量研究.社会经济因素社会经济因素

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