访问虚拟心理健康护理和难民和移民群体的支持:一个范围审查
Michaela Hynie1,2, Anna Oda3, Michael Calaresu4
1Department of Psychology, York University, Toronto, Canada. mhynie@yorku.ca.
Journal of immigrant and minority health
|July 5, 2023
概括
虚拟精神卫生保健服务 (VMHS) 可能会改善移民和难民的获取,但负担能力,技术和文化因素构成重大障碍. 需要进一步的研究,以确保公平和可持续的VMHS可访问性.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 健康 公平 卫生 公平
背景情况:
- 移民和难民人口在获得心理健康护理方面遇到重大障碍.
- 患者为中心的医疗保健准入模式为评估医疗保健准入提供了一个框架.
研究的目的:
- 探索虚拟精神卫生保健服务 (VMHS) 的潜力,以改善移民和难民人口的获取.
- 检查VMHS对这些群体的负担能力,可用性,住宿,适当性和可接受性.
主要方法:
- 使用CINAHL,MEDLINE,PSYCINFO,EMBASE,SOCINDEX和SCOPUS进行了一个范围审查.
- 审查确定了44篇论文和41篇独特的虚拟干预/评估工具.
主要成果:
- VMHS的可访问性受到个人 (识字),程序 (技术要求) 和上下文 (互联网带宽,住房) 因素的影响.
- 参与VMHS通常需要财政和技术支持,质疑可扩展性和长期可行性.
- 当前的研究经常排除严重的心理健康病例,文化因素以及缺乏技术访问的个人.
结论:
- VMHS对改善移民和难民获得心理健康护理的机会充满希望,但仍然存在重大挑战.
- 解决金融,技术和文化差异对于公平的VMHS实施至关重要.
- 进一步的研究对于克服局限性和确保VMHS对弱势群体的可持续性和普遍性至关重要.
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