评估实施心理健康政策和计划的方法和工具:系统性审查
Akmal Alikhan Aliev1,2, Hana Tomaskova1,2,3, Petr Winkler1,2,4
1Department of Public Mental Health, National Institute of Mental Health, Klecany, Czechia.
Global mental health (Cambridge, England)
|October 19, 2023
概括
评估心理健康政策和计划 (MHPPs) 的实施需要更好的方法. 目前的研究往往缺乏细节,无法评估整个MHPP,强调需要综合评估策略.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 心理健康服务研究 心理健康服务研究
背景情况:
- 心理健康政策和计划 (MHPP) 对于开发全球心理健康系统至关重要.
- 有效地实施MHPP对于改善全球精神卫生服务的提供至关重要.
- 评估 MHPP 的实施过程和影响对于政策改进至关重要.
研究的目的:
- 系统地绘制和分析用于评估MHPP实施的方法和工具.
- 确定现有文献中使用的范围,过程和影响评估策略.
- 评估MHPP研究中的评估方法的质量和全面性.
主要方法:
- 在七个科学数据库中进行系统的文献搜索,包括同行评审和灰色文献.
- 数据提取的重点是研究特征 (政策领域,地区,收入设置) 和评估方法.
- 分析了48项包括在内的研究中使用的定性,定量和混合方法方法.
主要成果:
- 大多数研究 (26/48) 使用了定性方法,12个使用了定量方法,10个使用混合方法.
- 在大多数研究中,评估方法和工具的描述很差,只有不到一半的研究提供了足够的细节.
- 只有三项研究评估了整个政策,这表明评估全面的MHPP实施存在重大差距.
结论:
- 实质上缺乏严格的研究来评估MHPP的实施,特别是全面的政策.
- 目前的评估策略往往是不发达的,缺乏方法的细节.
- 将强大的评估策略整合到 MHPP 设计中,对于未来的有效性至关重要.
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