改善来自少数族裔群体的人的心理健康护理准入和经验:一项全英格兰的多站点基于经验的编码设计 (EBCD) 研究
Catherine Winsper1, Rahul Bhattacharya2, Kamaldeep Bhui3,4
1Research and Innovation, Caludon Centre, Coventry and Warwickshire Partnership Trust, Clifford Bridge Road, Coventry, UK.
BMJ mental health
|July 18, 2023
概括
在获得心理健康护理方面的种族不平等因COVID-19而加剧. 利益相关者共同制作了文化适当服务的计划,强调社区协作和实践经验领导力,以提高心理健康护理的公平性.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 心理健康保健 公平 公平
背景情况:
- 在获得心理健康护理方面,先前存在的种族不平等被COVID-19大流行放大了.
- 少数族裔群体在精神卫生服务提供和结果方面面临着显著的差异.
研究的目的:
- 共同制作地方和国家实施计划,以改善少数民族个人心理健康护理.
- 通过利益相关方的合作,解决心理健康护理中的种族不平等问题.
主要方法:
- 在四个国家卫生服务 (NHS) 心理健康信托机构中采用了基于经验的共同设计方法.
- 数据收集涉及采访,重点小组和与服务用户,护理人员和卫生专业人员共同设计研讨会.
- 使用了一种解释主义-建设主义的分析方法,参与者验证优先行动和实施计划.
主要成果:
- 每个地点都确定了2-3个地方优先事项,包括社区外展,文化适当的服务,以及对种族和种族主义的公开讨论.
- 国家优先事项侧重于建立一个系统层面变革的协调中心,并承认服务用户和社区的中心作用.
- 关键主题包括提高文化能力和解决精神卫生保健中的系统性障碍.
结论:
- 利益相关者驱动的计划揭示了在英国实现心理健康保健公平的重大系统变革的必要性.
- 为了有效实施,NHS信托,社区组织和有实践经验的个人之间的合作至关重要.
- 未来的研究应该探索文化特异性与通用治疗干预措施的比较有效性.
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