부산대학교 도서관

INTRODUCTION The Canadian Armed Forces (CAF) philosophy of 'People first, mission always' in combination with its ambitious Total Health and Wellness Strategy, (1) which provides direction and coordination of all [...]
Introduction: Despite the importance of the mental and physical well-being of Canadian Forces Health Services (CFHS) personnel, research suggests they may not access care when needed. While eliminating barriers to care is important, identifying facilitators that encourage personnel to access care is equally valuable. Methods: CFHS personnel (N = 1,033) were randomly assigned to complete either a mental health or physical health version of the barriers to care survey. The survey included questions on endorsement of facilitators, health-related information, intent to access care, and two condition-specific hypothetical scenarios as proxies for access to care. Multiple regressions using Hayes PROCESS macro were conducted assessing the direct effects and indirect effects (through intent to access care) of the facilitators on early access to care. Results: Across the scenarios, making health a priority was both directly and indirectly related to accessing care. Senior leadership support indirectly influenced access to care for depression. Easy access to sick parade and the illness impacting their ability to perform at work was indirectly related to access to care for pneumonia (and was marginally significant for back injury). Discussion: Ensuring CFHS personnel prioritize their own health, have the support of senior leadership, and have easy access to care will help promote early access to care. Key words: access to care, Canadian Forces Health Services, care seeking, facilitators to care, mental health, military, physical health Introduction : Malgre l'importance du bien-etre mental et physique des membres du personnel des Services de sante des Forces canadiennes (SSFC), les recherches indiquent que ces personnes n'ont peut-etre pas acces aux soins dont elles ont besoin. Il est important d'eliminer les obstacles aux soins, mais il est tout aussi important d'encourager le personnel a acceder a ces soins. Methodologie : Les membres du personnel des SSFC (n = 1 033) ont ete repartis au hasard entre la participation a la version sur la sante mentale ou sur la sante physique d'un sondage sur les obstacles aux soins. Le sondage incluait des questions sur l'adhesion aux incitations, l'information liee a la sante, l'intention d'acceder aux soins et deux scenarios hypothetiques sur des affections precises pour simuler l'acces aux soins. Les chercheurs(ses) ont utilise des regressions multiples au moyen de la macro PROCESS de Hayes pour evaluer les effets directs et indirects (en fonction de l'intention d'acceder aux soins) des incitations a un acces rapide aux soins. Resultats : Dans les divers scenarios, le fait de prioriser la sante est lie a la fois directement et indirectement a l'acces aux soins. Le soutien de la haute direction influe indirectement sur l'acces aux soins en cas de depression. Un acces facile a la visite medicale et la maladie qui nuisait a la capacite d'effectuer le travail etaient lies indirectement a l'acces aux soins en cas de pneumonie (mais etaient peu significatifs en cas de lesions dorsales). Discussion : Si on s'assure que les membres du personnel des SSFC priorisent leur propre sante, ont l'appui de la haute direction et peuvent acceder facilement aux soins, il sera plus facile d'offrir un acces rapide aux soins. Mots-cles : acces aux soins, les facilitateurs de soins, militaire, recherche de soins, sante mentale, sante physique, Services de sante des Forces canadiennes LAY SUMMARY Despite the importance of the mental and physical well-being of Canadian Forces Health Services (CFHS) personnel, research suggests they may be under-accessing care. A lot of research has looked at what factors prevent individuals from accessing care (i.e., barriers), but almost none has examined what encourages individuals to access care (i.e., facilitators). In addition to examining which facilitators encourage CFHS personnel to access care, this study also examined whether facilitators directly impacted care-seeking behaviour, or whether they also indirectly influence behaviour by impacting general intentions to access care. Results showed that prioritizing one's health directly and indirectly influenced careseeking for both mental and physical health issues. Having the support of senior leadership influenced intention to seek care for mental health issues. Easy access to care influenced intention to seek care for physical health issues. Ensuring CFHS personnel prioritize their own health, have the support of senior leadership, and have easy access to care will help promote early access to care.