EPA-0301 – Improving somatic health of outpatients with severe mental illness - 01/08/14
Résumé |
Introduction |
Patients with severe mental illness (SMI) experience a 13- to 30-year reduction in life-expectancy. The majority of these deaths can be attributed to somatic health problems. The risk on somatic health problems is partly increased due to a reduced ability to request care and a health care organisation that is unable to fulfil the needs of these patients. Our previous work shows that a health-check-intervention can bypass the inability to request help of patients with SMI by detecting somatic healthproblems that were not detected previously[1].
Objectives |
To develop policy-recommendations to improve the health care organisation for the physical health of outpatients with SMI.
Aims |
We aim to present a selection of policy-recommendations based on consensus between patients, family carers, general practitioners(GP) and mental health care staff
Methods |
We used a three-round Delphi method. The first round consisted of an inventory of potential policy-recommendations, in the two consecutive rounds consensus was sought on a selection of recommendations.
Results |
The policy recommendations described improvement in collaboration among health care professionals; the need to educate involved professionals regarding the specific medical risks associated with patients with SMI; and defining the differences between GPs and mental health care professionals regarding their responsibilities to provide adequate care for the physical health of SMI patients.
Conclusions |
Currently there are multiple barriers to optimal health care which can be overcome by implementing the suggested policy recommendations.
Le texte complet de cet article est disponible en PDF.Vol 29 - N° S1
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