在以色列使用远程精神病学加速处理紧急情况:混合实施研究协议
Ligat Shalev1, Moises Bistre2, Gadi Lubin2
1School of Public Health, Hebrew University, Jerusalem, Israel.
JMIR research protocols
|October 17, 2023
概括
电脑精神病学,使用视频链接用于心理健康,正在研究在精神病医院急诊室对非自愿入院的有效性. 这项研究旨在改善紧急情况下的患者护理和政策决策.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 电脑精神病学是为心理健康评估和治疗而建立的,显示可行性和患者满意度.
- 以前的研究主要集中在社区环境中,对其在非自愿入院中的使用数据有限.
- 迫切需要在精神病急诊室 (ED) 评估远程精神病学,以进行非自愿的患者评估.
研究的目的:
- 评估远程精神病学在精神病房非自愿患者评估中的有效性.
- 检查远程精神病学在紧急精神病学环境中的实施过程.
- 确定ED中远程精神病学采用的促进者和障碍.
主要方法:
- 一种类型1混合实施研究,将远程精神病学 (n=240) 与以色列5个精神病房的历史对照 (n=240) 进行比较.
- 利用面对面评估政策的临时豁免,通过视频链接实现远程评估.
- 卫生服务研究实施促进行动 (PARIHS) 框架指导了实施过程的评估.
主要成果:
- 该研究获得了来自多个以色列医疗中心的伦理批准.
- 数据收集始于2023年7月,在研究地点分阶段开始.
- 主要结果包括ED停留时间和暴力事件的发生率.
结论:
- 远程精神病学显示出在精神病学EDS中具有显著患者益处的潜力.
- 了解实施促进者和障碍者对于有效的政策制定至关重要.
- 这项研究将为更广泛的政策决策提供信息,涉及到紧急心理健康护理中的远程精神病学.
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