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                                    Summary19583. Facilitating and hampering roles of patients’ networks.Patients may have supportive networks, aiding practitioners with valuable insights and contributing to patient stability. However, networks can also be part of patients’ problems, impacting MH negatively. Participants consider that cooperation with the network is valuable but demands additional time and effort.4. GPs’ and MHNPs’ challenges in providing care in the healthcare chain. According to the participants, timely access to appropriate care and support can reduce MH problems. However, participants experience challenges as a result of insufficient professional networks, poorly accessible MH services, and unclear reimbursement. In addition, there is a lack of coordination between involved professionals, with practitioners frequently assuming this role, leading to new challenges and frustrations. The GPs’ and MHNPs’ perspectives reveal that they perceive patients with both MID and MH problems as complex. To provide effective MH care, they find it important to consider MID throughout the trajectory, invest in the doctor–patient relationships, and establish a stable and sustainable network and coordinated collaborative care around the patient.The suggestions for improvement mentioned by patients, GPs, and MHNPs are integrated with the main findings of the studies in Chapters 2 to 6 in Chapter 7, providing a general discussion. The findings of these studies show that patients with both MID and MH problems have particular characteristics that impact the course of their MH trajectory and their lives. This includes encountering MH problems at a young age, experiencing multiproblems, needing a supportive network, being potentially undertreated in MH services, and their MID being overlooked by care professionals. GPs play a crucial role in the MH care of patients with MID, facing challenges in providing and coordinating appropriate care and support to this patient group.In this chapter, I highlight and elaborate five opportunities to improve primary (MH) care and support for this patient group. For all opportunities, I provide recommendations at GP, network, policy, and research level.Katrien Pouls sHL.indd 195 24-06-2024 16:26
                                
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