使用审计和反来指导社区心理健康中基于测量的护理的定制实施:一个多个案例研究
Mira D H Snider1, Meredith R Boyd2, Madison R Walker3
1Department of Psychology, West Virginia University, 53 Campus Drive Morgantown, Morgantown, WV, 26505, USA. mdh0054@mix.wvu.edu.
Implementation science communications
|August 14, 2023
概括
心理健康诊所的审计和反 (A&F) 改善了基于测量的护理 (MBC),当反包括个人临床医生的数据,解决障碍并满足受理者的需求时. 这支持了关于反如何推动行为改变的理论.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 行为心理学 行为心理学
背景情况:
- 审计和反 (A&F) 是确定临床实践缺陷的关键实施策略.
- 有限的经验证据存在于影响实施结果的特定A&F组件上.
- 在医疗保健环境中实践A&F应用的指导很少.
研究的目的:
- 为了说明社区心理健康诊所的A&F程序.
- 识别与行为变化理论相关的A&F组件.
- 检查A&F与基于测量的护理 (MBC) 实施之间的关系.
主要方法:
- 在六个社区心理健康诊所分析了A&F内容和交付.
- 利用档案数据来评估反机制,障碍和结果.
- 模式分析以将A&F组件与MBC使用变化相关联.
主要成果:
- 网站使用综合数据和个人数据;数据准确性是一个常见的问题.
- 反包括个人临床医生数据,MBC障碍信息,以及与增加MBC使用相关的接受者请求的数据.
- 确定了相互反机制和数据质量角色.
结论:
- 这些发现与反干预理论一致.
- 心理健康专业人员应该建立对数据质量和数量的互惠反.
- 建议指定数据质量沟通和解决的角色.
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