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Updated: Sep 10, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
行動医療環境における根拠に基づいた実践と治療の採用に影響を与える郡レベルのリソースの探求
Faye S Taxman1, Neelam Shukla1, Niloofar Ramezani2
1Schar School of Policy and Government, George Mason University - Mason Square, Arlington, Virginia, USA.
刑事司法制度における証拠に基づく実践 (EBP) の導入は極めて重要です. 専門職や助成金などの 郡の資源は これらの重要な治療の可用性を 大きく予測します
科学分野:
- 公衆衛生
- 医療サービス研究
- 刑事司法
背景:
- エビデンスベースの実践と治療 (EBPT) は,行動的健康成果の改善に不可欠です.
- 高額なコストは,EBPTの実施と持続可能性に重大な障壁となっています.
研究 の 目的:
- 刑事司法制度における個人のEBPTの利用可能性と郡の資源の関係を調べる.
- 刑事司法制度における証拠に基づくプログラム (EBP) と証拠に基づく治療法 (EBT) の予測要因を特定する.
主な方法:
- ポーソン数回帰モデルを使用して,米国の519の郡のデータを分析した.
- モデルでは,刑事司法EBP (CJ-EBP) とEBTを含む,さまざまな種類のEBPTの利用可能性とコストを予測しました.
主要な成果:
- 地域規模が大きくなり 行動医療を受ける人が少なくなり 資金調達,助成金,熟練したスタッフ,メディケイドの拡大,ステップアップイニシアチブへの参加が増加すると予測されています
- ステップアップ参加とメディケイドの拡大は,中低コストのCJ-EBPの主要な予測要因でした.
結論:
- 既存の人材資源と以前の助成歴は,CJ-EBPとEBTの利用可能性に大きな影響を与えます.
- 郡のスタッフを増やすこと,特に同級生によるサポートにより,EBPとEBTの可用性が増加する可能性があります.
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