title: Primary health care experiences of hispanics with serious mental illness: a mixed-methods study.
abstract: This mixed-methods study examines the primary health care experiences of Hispanic patients with serious mental illness. Forty patients were recruited from an outpatient mental health clinic. Participants reported a combination of perceived discrimination and stigmatization when receiving medical care. They rated the quality of chronic illness care as poor and reported low levels of self-efficacy and patient activation. These indicators were positively associated with how patients viewed their relationships with primary care providers. A grounded model was developed to describe the structural, social, and interpersonal processes that shaped participants' primary care experiences.
authors.affiliation: School of Social Work, Columbia University, 1255 Amsterdam Avenue, New York, NY, 10027, USA, ljc2139@columbia.edu.
authors.forename: Leopoldo J
authors.initials: LJ
authors.lastname: Cabassa
authors.forename: Arminda P
authors.initials: AP
authors.lastname: Gomes
authors.forename: Quisqueya
authors.initials: Q
authors.lastname: Meyreles
authors.forename: Lucia
authors.initials: L
authors.lastname: Capitelli
authors.forename: Richard
authors.initials: R
authors.lastname: Younge
authors.forename: Dianna
authors.initials: D
authors.lastname: Dragatsi
authors.forename: Juana
authors.initials: J
authors.lastname: Alvarez
authors.forename: Andel
authors.initials: A
authors.lastname: Nicasio
authors.forename: Benjamin
authors.initials: B
authors.lastname: Druss
authors.forename: Roberto
authors.initials: R
authors.lastname: Lewis-Fernández
mesh_terms: D005260:Female; D017144:Focus Groups; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders / Q000208:ethnology* / Q000628:therapy; D008875:Middle Aged; D009519:New York City; D010358:Patient Participation; D011320:Primary Health Care; D011787:Quality of Health Care; D063505:Racism; D020377:Self Efficacy; D013240:Stereotyping