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Article: Chinese perspectives on primary care for common mental disorders: Barriers and policy implications

TitleChinese perspectives on primary care for common mental disorders: Barriers and policy implications
Authors
KeywordsBarriers
Chinese
Common mental disorder
Help-seeking
Primary care
Western
Issue Date2018
PublisherSage Publications Ltd. The Journal's web site is located at http://www.sagepub.co.uk/journal.aspx?pid=105597
Citation
International Journal of Social Psychiatry, 2018, v. 64 n. 5, p. 417-426 How to Cite?
AbstractBackground: The World Health Organization (WHO) has called for integration of mental health into primary care for a decade. In Western countries, around 15% to 25% of patients with common mental disorders including mood and anxiety disorders seek help from primary care physicians (PCPs). The rate is only about 5% in China. Aims: This article reviews the Chinese findings on the barriers to primary care for common mental disorders and how they compared with Western findings. Methods: A narrative literature review was conducted, focusing on literature published from mid-1990s in English or Chinese. Patient, PCP and health system factors were reviewed. Results: Although Chinese and Western findings show similar themes of barriers, the Chinese have stronger barriers in most aspects, including under-recognition of the need for treatment, stigma on mental illness, somatization, worries about taking psychiatric drugs, uncertainties in the role, competency and legitimacy of PCPs in mental health care and short consultation time. Conclusion: Current policies in China emphasize enhancement of mental health facilities and workforce in the community. Our review suggests that patients’ intention to seek help and PCPs’ competency in mental health care are other fundamental factors to be addressed.
Persistent Identifierhttp://hdl.handle.net/10722/258641
ISSN
2017 Impact Factor: 1.613
2015 SCImago Journal Rankings: 0.488
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorSun, KS-
dc.contributor.authorLam, TP-
dc.contributor.authorWu, DD-
dc.date.accessioned2018-08-22T01:41:42Z-
dc.date.available2018-08-22T01:41:42Z-
dc.date.issued2018-
dc.identifier.citationInternational Journal of Social Psychiatry, 2018, v. 64 n. 5, p. 417-426-
dc.identifier.issn0020-7640-
dc.identifier.urihttp://hdl.handle.net/10722/258641-
dc.description.abstractBackground: The World Health Organization (WHO) has called for integration of mental health into primary care for a decade. In Western countries, around 15% to 25% of patients with common mental disorders including mood and anxiety disorders seek help from primary care physicians (PCPs). The rate is only about 5% in China. Aims: This article reviews the Chinese findings on the barriers to primary care for common mental disorders and how they compared with Western findings. Methods: A narrative literature review was conducted, focusing on literature published from mid-1990s in English or Chinese. Patient, PCP and health system factors were reviewed. Results: Although Chinese and Western findings show similar themes of barriers, the Chinese have stronger barriers in most aspects, including under-recognition of the need for treatment, stigma on mental illness, somatization, worries about taking psychiatric drugs, uncertainties in the role, competency and legitimacy of PCPs in mental health care and short consultation time. Conclusion: Current policies in China emphasize enhancement of mental health facilities and workforce in the community. Our review suggests that patients’ intention to seek help and PCPs’ competency in mental health care are other fundamental factors to be addressed.-
dc.languageeng-
dc.publisherSage Publications Ltd. The Journal's web site is located at http://www.sagepub.co.uk/journal.aspx?pid=105597-
dc.relation.ispartofInternational Journal of Social Psychiatry-
dc.rightsInternational Journal of Social Psychiatry. Copyright © Sage Publications Ltd.-
dc.subjectBarriers-
dc.subjectChinese-
dc.subjectCommon mental disorder-
dc.subjectHelp-seeking-
dc.subjectPrimary care-
dc.subjectWestern-
dc.titleChinese perspectives on primary care for common mental disorders: Barriers and policy implications-
dc.typeArticle-
dc.identifier.emailSun, KS: kssun2@hku.hk-
dc.identifier.emailLam, TP: tplam@hku.hk-
dc.identifier.authorityLam, TP=rp00386-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1177/0020764018776347-
dc.identifier.pmid29781372-
dc.identifier.scopuseid_2-s2.0-85047409853-
dc.identifier.hkuros286711-
dc.identifier.hkuros286586-
dc.identifier.volume64-
dc.identifier.issue5-
dc.identifier.spage417-
dc.identifier.epage426-
dc.identifier.isiWOS:000440039300002-
dc.publisher.placeUnited Kingdom-

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