Interventions to Promote the Utilization of Physical Health Care for People with Severe Mental Illness: A Scoping Review

Michael Strunz (), Naomi Pua’nani Jiménez, Lisa Gregorius, Walter Hewer, Johannes Pollmanns, Kerstin Viehmann and Frank Jacobi ()
Additional contact information
Michael Strunz: Psychologische Hochschule Berlin, 10179 Berlin, Germany
Naomi Pua’nani Jiménez: Psychologische Hochschule Berlin, 10179 Berlin, Germany
Lisa Gregorius: Institute for Health Services Research and Health Economics, German Diabetes Center, Leibniz Center for Diabetes Research, Heinrich Heine University Duesseldorf, 40225 Duesseldorf, Germany
Walter Hewer: Klinikum Christophsbad, 73035 Göppingen, Germany
Johannes Pollmanns: Kassenärztliche Vereinigung Nordrhein, 40182 Duesseldorf, Germany
Kerstin Viehmann: Institute for Health Services Research and Health Economics, Centre for Health and Society, Medical Faculty, Heinrich Heine University Duesseldorf, 40225 Duesseldorf, Germany
Frank Jacobi: Psychologische Hochschule Berlin, 10179 Berlin, Germany

IJERPH, 2022, vol. 20, issue 1, 1-17

Abstract: Background: The main contributor to excess mortality in severe mental illness (SMI) is poor physical health. Causes include unfavorable health behaviors among people with SMI, stigmatization phenomena, as well as limited access to and utilization of physical health care. Patient centered interventions to promote the utilization of and access to existing physical health care facilities may be a pragmatic and cost-effective approach to improve health equity in this vulnerable and often neglected patient population. Objective/Methods: In this study, we systematically reviewed the international literature on such studies (sources: literature databases, trial-registries, grey literature). Empirical studies (quantitative, qualitative, and mixed methods) of interventions to improve the utilization of and access to medical health care for people with a SMI, were included. Results: We identified 38 studies, described in 51 study publications, and summarized them in terms of type, theoretical rationale, outcome measures, and study author’s interpretation of the intervention success. Conclusions: Useful interventions to promote the utilization of physical health care for people with a SMI exist, but still appear to be rare, or at least not supplemented by evaluation studies. The present review provides a map of the evidence and may serve as a starting point for further quantitative effectiveness evaluations of this promising type of behavioral intervention.

Keywords: severe mental illness (SMI); physical health promotion; utilization of health care; access to health care; collaborative care; integrated care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/20/1/126/pdf (application/pdf)
https://www.mdpi.com/1660-4601/20/1/126/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:20:y:2022:i:1:p:126-:d:1011379

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().