“Although I’m mentally ill, that doesn’t mean that I’m not also physically ill” – barriers, facilitators and diagnostic overshadowing in healthcare for individuals with lived experience of mental ill-health
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Background: People with lived experience of mental ill-health (PWLE) face inequities in health care, including experiences of stigma and discrimination due to mental ill-health, as well as diagnostic overshadowing. This study aimed to investigate facilitators, barriers, and experiences of diagnostic overshadowing of PWLE within four European health care systems (Austria, Greece, Poland, and Spain). Methods: = 12.95). Semi-structured interviews were transcribed verbatim and thematically analysed. Results: The analyses revealed three themes: (1) "Factors located within the health care system," (2) "Factors in regard to the personal situation," and (3) "Impact of diagnostic overshadowing on health." The results indicated that experiences of not being taken seriously and issues of stigma and discrimination in the health care setting were recognized across all countries. Additionally, self-stigmatization was mentioned as an additional burden. Conclusion: These findings show the limitations in access to and utilization of health care services by PWLE across different health care systems. Additional efforts are needed to improve access and utilization of physical health care for PWLE to promote equity in health care and, ultimately, health
Health care · Lived experience · Mental health · Mental health care · Qualitative research · Mental Health and Patient Involvement · Mental Health Treatment and Access · Schizophrenia research and treatment
Global Burden of Disease and the Impact of Mental and Addictive Disorders
The Lancet Commission on ending stigma and discrimination in mental health
Mortality in Mental Disorders and Global Disease Burden Implications
Allport's Intergroup Contact Hypothesis
Minority stress theory
Epistemic injustice in healthcare
Conceptual and design thinking for thematic analysis
Extending the Minority Stress Model to Understand Mental Health Problems Experienced by the Autistic Population
Cigarette smoking among those with mental disorders in the US population
Quality of Preventive Medical Care for Patients With Mental Disorders
Fundamental issues in epistemic injustice in healthcare
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