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Table 3 Overview of the findings

From: Access to primary and specialized somatic health care for persons with severe mental illness: a qualitative study of perceived barriers and facilitators in Swedish health care

 

Individual-level

Organizational-level

Themes

Barriers

Self-stigmatizationa

The fragmentation of the previously comprehensive county council primary care systema, b, c

The main barrier is the gap between the organization of the health care system and the patients’ health care needs

The patient’s cognitive disabilityb, c

The lack of cooperation between different parts of the health care systema, b, c

The clinician’s lack of knowledge of mental illnessc

Lack of psychiatric expertiseb, c

Single-disease paradigmb, c

Facilitators

The relative as a spokespersonb

Access to a professional contact persona, b, c

The main facilitators are the links between the patients with SMI and the health care departments

The clinician’s own interest in developing a better understandingc

Continuity among cliniciansa, b, c

Annual remindersa, c

  1. aBarrier/facilitator reported by patients
  2. bBarrier/facilitator reported by relatives
  3. cBarrier/facilitator reported by clinicians