在全包养老计划 (PACE) 中整合行为健康:一个范围审查
Alexa Fleet1, Daniel Shalev2, Brigitta Spaeth-Rublee1
1Behavioral Health Services and Policy Research Department, New York State Psychiatric Institute, New York, New York, USA.
Journal of the American Geriatrics Society
|May 29, 2023
概括
行为健康服务对老年人全方位护理计划 (PACE) 参与者至关重要,但整合情况有所不同. 国家PACE协会 (NPA) 支持行为健康整合 (BHI) 努力,但需要标准化的指南.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 行为健康 行为健康
背景情况:
- 全方位老年护理计划 (PACE) 服务于有资格在养老院安置的老年人.
- 近60%的PACE参与者患有精神疾病,这突显了对行为健康 (BH) 服务的需求.
- 在PACE跨学科团队中,BH提供者角色没有强制性,这导致了多样化的服务集成.
研究的目的:
- 审查和总结关于行为健康 (BH) 编程和整合在全包老年护理计划 (PACE) 组织中的出版文献.
- 在PACE模型中识别现有的BH举措和服务提供方面的差距.
主要方法:
- 在主要数据库 (PubMed,EMBASE,PsycINFO) 搜索了2000-2022年期间的文章.
- 包括研究文章和详细介绍BH组件或PACE组织中的编程的项目.
- 总结了BH在组织和国家层面的编程证据.
主要成果:
- 在PACE中从2004年到2022年确定了九篇关于BH的相关出版物.
- 发现了BH成功举措的证据,但在公布的信息中存在重大差距.
- 他注意到国家PACE协会 (NPA) 通过工具包和培训来推进BH整合的工作.
结论:
- 由于缺乏标准化的指导方针,PACE组织不均地发展了BH服务纳入.
- 评估目前的BH包容性格局对于开发基于证据的实践至关重要.
- 需要标准化的BH整合来满足PACE人口的心理健康需求.
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