在初级保健临床医生提供者中,抗抑郁药处方行为在专业间初级保健精神病学培训计划之后
Shutong Huo1, Tim A Bruckner2,3, Glen L Xiong4
1University of California Irvine, Program in Public Health, Irvine, CA, USA. Shutonh@hs.uci.edu.
Administration and policy in mental health
|August 20, 2023
概括
接受专门精神病学培训的初级保健提供者增加了对患者的抗抑郁药物处方. 这项以证据为基础的奖学金增强了初级保健机构的抑郁症治疗.
科学领域:
- 精神病学是一个精神病学.
- 初级医疗保健医学 一级医疗保健医学
- 医学教育 医学教育
背景情况:
- 初级保健提供者 (PCP) 面临着越来越多的对抑郁症查和治疗的需求.
- 在诊断和管理抑郁症方面,PCP往往缺乏足够的培训.
- 需要有效的培训计划来增强精神卫生保健中的PCP能力.
研究的目的:
- 评估加利福尼亚大学欧文 (UCI) 医学院培训新培训师 (TNT) 初级保健精神病学 (PCP) 奖学金对抗抑郁药处方率的影响.
- 确定基于证据和指导的培训是否改善了PCP抑郁症管理.
主要方法:
- 实施了一个为期12个月的TNT PCP奖学金计划.
- 分析了来自南加州卫生计划 (2017-2021) 的18844名患者和192名PCP的数据.
- 线性回归模型比较了完成奖学金的PCP与未完成的PCP的抗抑郁药处方率,控制共变量.
主要成果:
- 完成了TNT培训的PCP在预期水平 (p < 0.01) 相比,每季度每患者开出0.154个抗抑郁药处方.
- 结果在方向和大小上保持一致,尽管计算提供商集群时的精度降低了 (p < 0.10).
结论:
- 该UCI TNT PCP奖学金有效地提高了初级保健提供者之间的抗抑郁药物处方做法.
- 这种新,具有成本效益的培训计划有可能改善初级保健中抑郁症治疗的交付.
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