The lack of primary care coordination for people with schizophrenia across the continuum of care in a rural Midwest state compromises long-term treatment success. For the purpose of primary care coordination this qualitative study explored perceptions of health care professionals that care for people with schizophrenia regarding expansion of laboratory and/or pharmacy services in the home health care setting. Mental health providers, home health care nurses, pharmacy and laboratory personnel participated in a focus group to identify common themes regarding access to care, care coordination and the utilization of laboratory and/or pharmacy services. A semistructured, open-ended focus group was used to examine the actual experiences of health care practitioners and professionals working with people with schizophrenia in the rural home health care setting. The findings of the focus group demonstrated several common themes. The first theme identified was people with schizophrenia have stigmas about their illness leading to non-compliance and reduced access to care. A second theme identified was the lack of community resources to care for people with schizophrenia. A third theme was the limited knowledge of health care providers to the utilization of home health care in the treatment of people with schizophrenia. The fourth theme was the lack of care coordination, social work and knowledge of the local issues faced by people with schizophrenia. The fifth and final theme was the lack of coordination with laboratory and pharmacy health care specialties. The results of the study may lend interest to more research regarding the utility of expanded home health care services in the care of people with schizophrenia.
|Commitee:||Byous, Rosslynn, Hackstaff, Lynn|
|Department:||Nursing and Health Sciences|
|School Location:||United States -- Minnesota|
|Source:||DAI-B 79/03(E), Dissertation Abstracts International|
|Subjects:||Health care management|
|Keywords:||Care, Delivery, Home health care, Schizophrenia, Schizophrenic, Services|
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