在COVID-19大流行期间为患有饮食障碍的人提供增强的康复支持:在加拿大使用基于网络的分步护理计划来提高质量
Michael D Wood1,2, Jeannine L Smith3, Hannah Healey4
1Department of Anesthesiology Pharmacology & Therapeutics, The University of British Columbia, Vancouver, British Columbia, Canada.
BMJ open quality
|November 7, 2023
概括
恢复支持计划 (RSP) 显著增加了对饮食障碍 (ED) 服务的访问,将等待时间从31天减少到2天. 这种基于网络的平台改善了参与者的入门和参与,解决了对可访问ED护理的日益增长的需求.
科学领域:
- 公共卫生 公共卫生
- 医疗保健技术 技术 医疗保健 技术
- 心理健康服务 心理健康服务
背景情况:
- 随着COVID-19大流行,饮食障碍 (ED) 患者的数量大幅增加.
- 勇敢的身体开发了一个基于网络的分步护理恢复支持计划 (RSP),以提高社区ED服务的可访问性.
- 本研究评估了RSP在及时提供治疗访问和平台参与方面的有效性.
研究的目的:
- 描述恢复支持计划 (RSP) 的模型.
- 评估RSP对获得护理和用户参与的影响.
- 确定未来改善的领域和RSP的可扩展性.
主要方法:
- 一项回顾性队列研究比较了RSP实施前6个月和RSP实施后12个月的服务访问.
- 关键指标包括注册请求,参与者登陆和服务访问时间.
- 二次措施涉及RSP行动计划的使用,会议出席率,治疗准入和患者体验数据.
主要成果:
- 在RSP实施后,注册请求显著增加 (176.5 vs 85.5).
- 成功的参与者登陆率从37.9%上升到76.6%,访问服务的时间从31天减少到2天.
- 虽然反率很低,但用户报告说RSP有帮助,可访问和用户友好,并提出了改进建议.
结论:
- 该RSP有效地促进了参与者的快速登陆和初始服务访问.
- 这些发现支持RSP的适应和扩展的可行性,以满足对低障碍,以患者为中心的ED护理的需求.
- 进一步评估临床益处是有必要的,同时将用户反纳入程序改进中.
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