纽约市精神健康门诊病人的药物治疗和护理协调。

IF 1.5 3区社会学 Q2 ANTHROPOLOGY

Medical Anthropology Pub Date : 2024-07-03 Epub Date: 2024-07-22 DOI:10.1080/01459740.2024.2378092

Neil Krishan Aggarwal

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引用次数: 0

摘要

美国政府的质量措施优先考虑药物治疗和护理协调，以促进患者坚持治疗。在精神科医生和非医生合作的情况下，这些措施如何影响门诊精神健康服务的提供以及患者与医疗服务提供者之间的沟通，目前还没有得到充分研究。通过对 500 个小时的参与观察、117 次预约以及对 45 名新患者和医疗服务提供者的 98 次访谈进行分析，我发现精神科医生和社工通过鼓励药物治疗和看两名心理健康服务提供者来协调医疗服务，并将其作为默认的治疗方式，而不考虑患者的偏好。在研究治疗依从性的过程中，人种学视角对服务提供模式和提供者行为的考虑至关重要。

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Pharmaceuticalization and Care Coordination in New York City Outpatient Mental Health.

US government quality measures prioritize pharmaceuticalization and care coordination to promote patient treatment adherence. How these measures affect outpatient mental health service delivery and patient-provider communication where psychiatrists and nonphysicians collaborate is understudied. Analyzing 500 hours of participant-observation, 117 appointments, and 98 interviews with 45 new patients and providers, I show that psychiatrists and social workers coordinated care by encouraging medications and seeing two mental health providers as the default treatment, irrespective of patient preferences. Ethnographic perspectives crucially account for models of service delivery and provider behaviors in researching treatment adherence.

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来源期刊

Medical Anthropology Multiple-

CiteScore

4.10

自引率

4.30%

发文量

期刊介绍： Medical Anthropology provides a global forum for scholarly articles on the social patterns of ill-health and disease transmission, and experiences of and knowledge about health, illness and wellbeing. These include the nature, organization and movement of peoples, technologies and treatments, and how inequalities pattern access to these. Articles published in the journal showcase the theoretical sophistication, methodological soundness and ethnographic richness of contemporary medical anthropology. Through the publication of empirical articles and editorials, we encourage our authors and readers to engage critically with the key debates of our time. Medical Anthropology invites manuscripts on a wide range of topics, reflecting the diversity and the expanding interests and concerns of researchers in the field.