Exploring Barriers to Primary Care For Patients with Severe Mental Illness: Frontline Patient and Provider Accounts
Abstract
The goal of this study was to obtain in-depth descriptions of barriers to primary care for adults with serious mental illness (SMI) and to provide solutions to these barriers. Qualitative interviews were administered to mental health and medical providers, as well as patients. Several major themes were reported including: poor access to care; patient limitations (e.g., psychopathology, cognitive difficulties); societal, health care system, and provider bias; integrated/fragmented care, communication difficulties; and quality of care issues. Results point to a need for nursing professionals to continue to improve access to medical care for this population, as well as to continue to integrate mental health and primary care.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
These obstacles complicate the diagnostic process, making it challenging for healthcare providers to acquire medical information from patients and take effective action.
“These obstacles complicate the diagnostic process, making it challenging for healthcare providers to acquire medical information from patients and take effective action [70].”
From Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors (2026) · cites this paper as [70]
The citation lists haven’t been fetched yet
References 35 · Cited by 88
- Authors
- Kaufman, E. A., McDonell, M. G., Cristofalo, M. A., & Ries, R. K.
- Affiliations
- University of Utah (US)
- University of Washington (US)
- Corresponding author
- McDonell, Michael G.
- Venue
- Issues in Mental Health Nursing
- Publisher
- Informa UK Limited
- Published
- 2012-02-24
- Volume
- 33
- Issue
- 3
- Pages
- 172-180
- ISSN
- 0161-2840 (ISSN-L)
- 1096-4673
- OpenAlex
- W2036899094
- Cited by
- 88
- References
- 35
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 4 · 2023: 12 · 2022: 14 · 2021: 7 · 2020: 1 · 2019: 2 · 2018: 7 · 2017: 8 · 2016: 7 · 2015: 2 · 2014: 4 · 2013: 3 · 2012: 1
- FWCI
- 4.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Issues in Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- severe mental illness, barriers to primary care, health care access, integrated care, provider bias, patient-provider communication, quality of care, cognitive impairment, psychopathology, healthcare system fragmentation
- MeSH terms
- Adult, Mental Disorders, Female, Health Services Accessibility, Humans, Male, Mental Health Services, Primary Health Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
