Feasibility and acceptability of patient partnership to improve access to primary care for the physical health of patients with severe mental illnesses: an interactive guide.
Identifieur interne : 002B99 ( PubMed/Checkpoint ); précédent : 002B98; suivant : 002C00Feasibility and acceptability of patient partnership to improve access to primary care for the physical health of patients with severe mental illnesses: an interactive guide.
Auteurs : Jean-François Pelletier [Canada] ; Alain Lesage [Canada] ; Christine Boisvert [Canada] ; Frédéric Denis [France] ; Jean-Pierre Bonin [Canada] ; Steve Kisely [Australie]Source :
- International journal for equity in health [ 1475-9276 ] ; 2015.
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Abstract
Even in countries with universal healthcare systems, excess mortality rates due to physical chronic diseases in patients also suffering from serious mental illness like schizophrenia is such that their life expectancy could be lessened by up to 20 years. The possible explanations for this disparity include: unhealthy habits (i.e. smoking; lack of exercise); side-effects of psychotropic medication; delays in the detection or initial presentation leading to a more advanced disease at diagnosis; and inequity of access to services. The main objective of this paper is to explore the feasibility and acceptability of patient partnership for developing an interactive guide to improve access to primary care providers for chronic diseases management and health promotion among patients with severe mental illnesses.
DOI: 10.1186/s12939-015-0200-0
PubMed: 26370926
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first="Jean-François" last="Pelletier">Jean-François Pelletier</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry, University of Montreal, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, 7401, Hochelaga Street, Montreal, QC, H1N 3M5, Canada. jean-francois.pelletier@yale.edu.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Psychiatry, University of Montreal, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, 7401, Hochelaga Street, Montreal, QC, H1N 3M5</wicri:regionArea><wicri:noRegion>H1N 3M5</wicri:noRegion></affiliation></author><author><name sortKey="Lesage, Alain" sort="Lesage, Alain" uniqKey="Lesage A" first="Alain" last="Lesage">Alain Lesage</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry, University of Montreal, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, 7401, Hochelaga Street, Montreal, QC, H1N 3M5, Canada. alesage.iusmm@ssss.gouv.qc.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Psychiatry, University of Montreal, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, 7401, Hochelaga Street, Montreal, QC, H1N 3M5</wicri:regionArea><wicri:noRegion>H1N 3M5</wicri:noRegion></affiliation></author><author><name sortKey="Boisvert, Christine" sort="Boisvert, Christine" uniqKey="Boisvert C" first="Christine" last="Boisvert">Christine Boisvert</name><affiliation wicri:level="3"><nlm:affiliation>International Program for Participatory Action Research, Montréal, Canada. boisvertchris@hotmail.com.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>International Program for Participatory Action Research, Montréal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Denis, Frederic" sort="Denis, Frederic" uniqKey="Denis F" first="Frédéric" last="Denis">Frédéric Denis</name><affiliation wicri:level="3"><nlm:affiliation>La Chartreuse Psychiatric Centre, Dijon, France. frederic.denis@chs-chartreuse.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>La Chartreuse Psychiatric Centre, Dijon</wicri:regionArea><placeName><region type="region">Bourgogne-Franche-Comté</region><region type="old region">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author><author><name sortKey="Bonin, Jean Pierre" sort="Bonin, Jean Pierre" uniqKey="Bonin J" first="Jean-Pierre" last="Bonin">Jean-Pierre Bonin</name><affiliation wicri:level="3"><nlm:affiliation>Faculty of Nursing, University of Montreal, Montreal, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Nursing, University of Montreal, Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Kisely, Steve" sort="Kisely, Steve" uniqKey="Kisely S" first="Steve" last="Kisely">Steve Kisely</name><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, The University of Queensland, Brisbane, Australia. s.kisely@uq.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Medicine, The University of Queensland, Brisbane</wicri:regionArea><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author></analytic><series><title level="j">International journal for equity in health</title><idno type="eISSN">1475-9276</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Feasibility Studies</term><term>Female</term><term>Health Services Accessibility</term><term>Humans</term><term>Male</term><term>Mental Health Services</term><term>Middle Aged</term><term>Patient Participation</term><term>Quebec</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Participation du patient</term><term>Québec</term><term>Services de santé mentale</term><term>Sujet âgé</term><term>Études de faisabilité</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Quebec</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Feasibility Studies</term><term>Female</term><term>Health Services Accessibility</term><term>Humans</term><term>Male</term><term>Mental Health Services</term><term>Middle Aged</term><term>Patient Participation</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Participation du patient</term><term>Québec</term><term>Services de santé mentale</term><term>Sujet âgé</term><term>Études de faisabilité</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Even in countries with universal healthcare systems, excess mortality rates due to physical chronic diseases in patients also suffering from serious mental illness like schizophrenia is such that their life expectancy could be lessened by up to 20 years. The possible explanations for this disparity include: unhealthy habits (i.e. smoking; lack of exercise); side-effects of psychotropic medication; delays in the detection or initial presentation leading to a more advanced disease at diagnosis; and inequity of access to services. The main objective of this paper is to explore the feasibility and acceptability of patient partnership for developing an interactive guide to improve access to primary care providers for chronic diseases management and health promotion among patients with severe mental illnesses.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26370926</PMID><DateCreated><Year>2015</Year><Month>09</Month><Day>15</Day></DateCreated><DateCompleted><Year>2016</Year><Month>06</Month><Day>14</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1475-9276</ISSN><JournalIssue CitedMedium="Internet"><Volume>14</Volume><PubDate><Year>2015</Year><Month>Sep</Month><Day>14</Day></PubDate></JournalIssue><Title>International journal for equity in health</Title><ISOAbbreviation>Int J Equity Health</ISOAbbreviation></Journal><ArticleTitle>Feasibility and acceptability of patient partnership to improve access to primary care for the physical health of patients with severe mental illnesses: an interactive guide.</ArticleTitle><Pagination><MedlinePgn>78</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12939-015-0200-0</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Even in countries with universal healthcare systems, excess mortality rates due to physical chronic diseases in patients also suffering from serious mental illness like schizophrenia is such that their life expectancy could be lessened by up to 20 years. The possible explanations for this disparity include: unhealthy habits (i.e. smoking; lack of exercise); side-effects of psychotropic medication; delays in the detection or initial presentation leading to a more advanced disease at diagnosis; and inequity of access to services. The main objective of this paper is to explore the feasibility and acceptability of patient partnership for developing an interactive guide to improve access to primary care providers for chronic diseases management and health promotion among patients with severe mental illnesses.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A participatory action research design was used to engage patients with mental illness as full research partners for a strategy for patient-oriented research in primary care for persons with schizophrenia who also have chronic physical illnesses. This strategy was also developed in partnership with a health and social services centre responsible for the health of the population of a territory with about 100,000 inhabitants in East-end Montreal, Canada. A new interactive guide was developed by patient research partners and used by 146 participating patients with serious mental illness who live on this territory, for them to be better prepared for their medical appointment with a General Practitioner by becoming more aware of their own physical condition.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Patient research partners produced a series of 33 short videos depicting signs and symptoms of common chronic diseases and risk factors for the leading causes of mortality and study participants were able to complete the corresponding 33-item questionnaire on an electronic touch screen tablet. What proved to be most relevant in terms of interactivity was the dynamic that has developed among the study participants during the small group learning sessions, a training technique designed for healthcare professionals that was adapted for this project for, and with patient partners.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This research has shown the feasibility and acceptability of patient partnership and patient-oriented research approaches to the R&D process of a new medical tool and intervention for patients with serious mental illness, and its acceptability for addressing inequity of this disadvantaged population in terms of access to primary care providers.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pelletier</LastName><ForeName>Jean-François</ForeName><Initials>JF</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, University of Montreal, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, 7401, Hochelaga Street, Montreal, QC, H1N 3M5, Canada. jean-francois.pelletier@yale.edu.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Psychiatry, Yale School of Medicine, New Haven, USA. jean-francois.pelletier@yale.edu.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>International Program for Participatory Action Research, Montréal, Canada. jean-francois.pelletier@yale.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lesage</LastName><ForeName>Alain</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, University of Montreal, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, 7401, Hochelaga Street, Montreal, QC, H1N 3M5, Canada. alesage.iusmm@ssss.gouv.qc.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Boisvert</LastName><ForeName>Christine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>International Program for Participatory Action Research, Montréal, Canada. boisvertchris@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Denis</LastName><ForeName>Frédéric</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>La Chartreuse Psychiatric Centre, Dijon, France. frederic.denis@chs-chartreuse.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Franche-Comte, Besançon, France. frederic.denis@chs-chartreuse.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bonin</LastName><ForeName>Jean-Pierre</ForeName><Initials>JP</Initials><AffiliationInfo><Affiliation>Faculty of Nursing, University of Montreal, Montreal, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kisely</LastName><ForeName>Steve</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>School of Medicine, The University of Queensland, Brisbane, Australia. s.kisely@uq.edu.au.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><Agency>Canadian Institutes of Health Research</Agency><Country>Canada</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>09</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int J Equity Health</MedlineTA><NlmUniqueID>101147692</NlmUniqueID><ISSNLinking>1475-9276</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J 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Decis Mak. 2013;13:78</RefSource><PMID Version="1">23890085</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Prev Med. 2011 Mar;40(3):279-85</RefSource><PMID Version="1">21335258</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am Heart J. 2005 Dec;150(6):1115-21</RefSource><PMID Version="1">16338246</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005240" MajorTopicYN="N">Feasibility Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006297" MajorTopicYN="Y">Health Services Accessibility</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" 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PubStatus="entrez"><Year>2015</Year><Month>9</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>9</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>6</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26370926</ArticleId><ArticleId IdType="doi">10.1186/s12939-015-0200-0</ArticleId><ArticleId IdType="pii">10.1186/s12939-015-0200-0</ArticleId><ArticleId IdType="pmc">PMC4568580</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>Canada</li><li>France</li></country><region><li>Bourgogne</li><li>Bourgogne-Franche-Comté</li><li>Québec</li></region><settlement><li>Dijon</li><li>Montréal</li></settlement></list><tree><country name="Canada"><noRegion><name sortKey="Pelletier, Jean Francois" sort="Pelletier, Jean Francois" uniqKey="Pelletier J" first="Jean-François" last="Pelletier">Jean-François Pelletier</name></noRegion><name sortKey="Boisvert, Christine" sort="Boisvert, Christine" uniqKey="Boisvert C" first="Christine" last="Boisvert">Christine Boisvert</name><name sortKey="Bonin, Jean Pierre" sort="Bonin, Jean Pierre" uniqKey="Bonin J" first="Jean-Pierre" last="Bonin">Jean-Pierre Bonin</name><name sortKey="Lesage, Alain" sort="Lesage, Alain" uniqKey="Lesage A" first="Alain" last="Lesage">Alain Lesage</name></country><country name="France"><region name="Bourgogne-Franche-Comté"><name sortKey="Denis, Frederic" sort="Denis, Frederic" uniqKey="Denis F" first="Frédéric" last="Denis">Frédéric Denis</name></region></country><country name="Australie"><noRegion><name sortKey="Kisely, Steve" sort="Kisely, Steve" uniqKey="Kisely S" first="Steve" last="Kisely">Steve Kisely</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix 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