"它打开了我的眼睛,我的耳朵和我的心":编码设计一个物质使用障碍治疗计划
Julie Bosak1,2,3, Mari-Lynn Drainoni4,5, Cheri Bryer2,3
1Community Health Services, Boston University School of Public Health, Boston, Massachusetts, USA.
概括
在物质使用障碍 (SUD) 治疗设计中,让有生活经验的女性 (WWLE) 参与,提高了她们的权力. 这种代码设计方法显示出增强患者参与和保持弱势群体在护理中的承诺.
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
- 心理健康服务 心理健康服务
背景情况:
- 孕妇和育儿妇女在物质使用障碍 (SUD) 治疗中的参与度和保留率较低.
- 开发有效的,长期的住院治疗服务,用于SUD和精神疾病的双重诊断,对这一群体至关重要.
研究的目的:
- 分析适应基于经验的编码设计 (EBCD) 流程的实施情况.
- 让SUD治疗人员和有生活经验的妇女 (WWLE) 参与为SUD和精神疾病的孕妇和育儿妇女推出住院治疗服务.
主要方法:
- 一个过程评估利用了采访,民族学观察,团体事件记录和会议记录.
- 基于"卫生服务研究综合促进行动"框架的专题分析,对五个数据源进行了应用.
- 在18个月的实施期内,参与了34名参与者 (13名WWLE,21名SUD工作人员).
主要成果:
- EBCD过程成功地吸引了WWLE和员工,促进了凝聚力和协作头脑风暴.
- 据WWLE报道,他们感到受到尊重,安全和赋权,为更公平的代码设计过程做出了贡献.
- 挑战包括由于COVID-19而保持人与人之间的联系以及导航复杂的住宅法规.
结论:
- 该研究强调了让WWLE参与针对弱势群体的代码设计的可行性和挑战.
- EBCD方法对WWLE的赋权产生了积极的影响,并提供了改善患者参与和留在护理中的见解.
- 将代码设计纳入服务开发可以增强康复期妇女的健康公平.
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