A Qualitative Study on Mental Health Services in Primary Care in Türkiye.

IF 1.3 Q3 PSYCHIATRY
Emel Güden, Arda Borlu, Yeliz Yelen Akpinar, Özlem Olguner Eker, Saliha Özsoy, Zeynep Baykan
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Abstract

Objective: Mental health services are a neglected problem within primary care. Quality mental health service delivery at the primary level hinges on identifying and addressing related questions. The aim of this study was to evaluate the issues and solution proposals regarding service delivery based on the experiences of primary care workers in managing mental illnesses.

Methods: This research was conducted using the focus group interview method, which is one of many qualitative research techniques. The study sample consisted of 8 physicians and 9 healthcare workers providing primary healthcare (PHC) services in a city. The data collection process was carried out using a semi-structured interview form and a personal information form. The interviews were recorded and later transcribed. Subsequently, main themes and subthemes were identified through content analysis and a detailed content analysis was conducted based on these themes.

Results: Themes from interviews with PHC workers included education/training needs, service delivery barriers, and recommendations. The study revealed that PHC workers lack current knowledge on mental illnesses. There was fear of stigma regarding mental illness within the community. Workers experienced systemic issues such as heavy workloads, inadequate physical space, and inability to access data.

Conclusion: To reduce the treatment gap in primary mental health services and enhance access to high-quality mental health care, it would be beneficial to regularly update healthcare personnel training in mental health and increase public mental health literacy to prevent stigma and promote help-seeking behavior.

土耳其基层医疗机构心理健康服务定性研究。
目的:心理健康服务是初级保健中一个被忽视的问题。要在基层医疗机构提供优质的精神卫生服务,就必须找出并解决相关问题。本研究旨在根据基层医疗工作者在管理精神疾病方面的经验,评估有关提供服务的问题和解决建议:本研究采用了焦点小组访谈法,这是众多定性研究技术中的一种。研究样本包括 8 名医生和 9 名在某市提供初级医疗保健(PHC)服务的医护人员。数据收集过程使用了半结构化访谈表和个人信息表。对访谈进行了录音,随后进行了转录。随后,通过内容分析确定了主要主题和次主题,并根据这些主题进行了详细的内容分析:与初级保健工作者的访谈主题包括教育/培训需求、服务提供障碍和建议。研究显示,初级保健中心的工作人员缺乏有关精神疾病的最新知识。在社区中,人们担心精神疾病会带来耻辱。工作人员遇到了一些系统性问题,如工作量大、物理空间不足、无法获取数据等:为了缩小初级精神卫生服务的治疗差距,提高高质量精神卫生保健的可及性,定期更新医护人员在精神卫生方面的培训并提高公众的精神卫生知识水平,对防止污名化和促进求助行为是有益的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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