TY - JOUR
T1 - Use of Preventive Health Services in People With Serious Mental Illness
T2 - Consumer Perspectives on Barriers and Solutions
AU - Xiong, Glen
AU - Iosif, Ana-Maria
AU - Culpepper, Nickolas H.
AU - McCarron, Robert M.
PY - 2017/1/5
Y1 - 2017/1/5
N2 - Objective: This study asked 350 consumers with serious mental illness (DSM-IV) (who are using community mental health services in Sacramento County, California) for their perspective about barriers and solutions to use of preventive health services.Methods: Two questions were posed: (1) What do you think keeps you from getting preventive tests? (2) What do you think would help you complete the recommended tests? Participants were interviewed between October 2010 and December 2012. A mixed qualitative and quantitative data analysis method was used to examine participant responses.Results: Perceived barriers included low priority (n = 64, 20%), doctor (did not order) (n = 55, 17%), finances/insurance barriers (n = 45, 14%), fear (n = 39, 12%), and knowledge about the services (n = 31, 10%). Common solutions included doctor-related interventions (n = 75, 23%), information (n = 61, 19%), insurance coverage (n = 49, 15%), transportation (n = 36, 11%), and use of reminders (n = 28, 9%).Conclusions: Consumers suggest that interventions may include providing more information and reminding doctors to order the tests and patients to complete the tests.
AB - Objective: This study asked 350 consumers with serious mental illness (DSM-IV) (who are using community mental health services in Sacramento County, California) for their perspective about barriers and solutions to use of preventive health services.Methods: Two questions were posed: (1) What do you think keeps you from getting preventive tests? (2) What do you think would help you complete the recommended tests? Participants were interviewed between October 2010 and December 2012. A mixed qualitative and quantitative data analysis method was used to examine participant responses.Results: Perceived barriers included low priority (n = 64, 20%), doctor (did not order) (n = 55, 17%), finances/insurance barriers (n = 45, 14%), fear (n = 39, 12%), and knowledge about the services (n = 31, 10%). Common solutions included doctor-related interventions (n = 75, 23%), information (n = 61, 19%), insurance coverage (n = 49, 15%), transportation (n = 36, 11%), and use of reminders (n = 28, 9%).Conclusions: Consumers suggest that interventions may include providing more information and reminding doctors to order the tests and patients to complete the tests.
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U2 - 10.4088/PCC.16m02042
DO - 10.4088/PCC.16m02042
M3 - Article
C2 - 28102976
AN - SCOPUS:85015350514
VL - 19
JO - The primary care companion for CNS disorders
JF - The primary care companion for CNS disorders
SN - 1523-5998
IS - 1
ER -