患者と提供者の視点から精神医学における測定ベースのケアを体系的に検討する
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Ayan Dey1,2,3, Ze'ev Lewis4, Josh Posel4
1Psychiatry, University of Toronto, Toronto, Ontario, Canada ayan.dey@mail.utoronto.ca.
BMJ mental health
|August 27, 2025
まとめ
測定ベースのケア (MBC) は コミュニケーションの改善や 患者のメンタルヘルスの洞察などの利点があります しかし,対策の妥当性,訓練,データプライバシーに関する課題は依然として残っています.
科学分野:
- 精神科
- メンタルヘルスの研究
- 医療サービス研究
背景:
- 測定ベースのケア (MBC) は,医療,特に精神保健において,患者中心のアプローチがますます普及しています.
- MBCに対する臨床医と患者の態度が異なるため,実装は変動しています.
研究 の 目的:
- 精神医学における測定ベースのケア (MBC) のメリットとデメリットに関する臨床医と患者の見解を体系的に検討する.
主な方法:
- 複数のデータベース (Ovid MEDLINE,EMBASEなど) で検索 2024年1月まで
- 1644件のタイトル/概要を審査し,48件の完全な論文をレビューし,24件の研究を含めた.
- 質の評価とパターン抽出のためのテーマ分析のツール.
主要な成果:
- 患者は,コミュニケーション,自己認識,および汚名を減らすためにMBCを評価したが,測定の適切性と治療の影響について疑問を呈した.
- 臨床医は,MBCの患者への関与,治療の追跡,およびコミュニケーションの効率性を評価したが,複雑さ,バイアス,時間,トレーニング,およびデータプライバシーの懸念を指摘した.
- このレビューには901人の患者と2831人の臨床医の見解が含まれていました.
結論:
- 患者と臨床医はMBCのコミュニケーション,洞察,意思決定の利点を認識しています.
- 特定された制限には,臨床的複雑性,治療同盟の影響,および管理上の負担に関する懸念が含まれます.
- MBCの統合に成功するには,トレーニング,明確なガイドライン,データの透明性,ワークフローの統合を通じて課題に取り組む必要があります.
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