个人安置和支持实施中的外部背景:一个范围审查与抽取性的专题分析
Jaakko Harkko1, Noora Sipilä2, Hilla Nordquist3,4
1Faculty of Social Sciences, University of Helsinki, Helsinki, Finland. jaakko.harkko@helsinki.fi.
Implementation science : IS
|November 10, 2023
概括
外部环境显著影响基于证据的实践,如个人安置和支持 (IPS). 了解这些因素对于成功实施和扩大心理健康服务至关重要.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 实施科学 实施科学
- 职业康复 职业康复 职业康复
背景情况:
- 外部环境极大地影响了基于证据的实践的采用,实施,维持和扩展.
- 个人安置和支持 (IPS) 是为精神病患者和精神健康患者提供基于证据的职业康复服务.
- 通过范围审查,调查影响IPS实施的外部上下文特征.
研究的目的:
- 对实施个人安置和支持 (IPS) 的实证研究进行范围审查.
- 识别和分析影响IPS实施和扩展的外部上下文因素.
- 为弥合心理健康服务中证据与实践差距的战略提供信息.
主要方法:
- 范围审查方法遵循乔安娜·布里格斯研究所的指导方针和PRISMA-ScR检查清单.
- 在12个数据库中搜索了关于"个人安置和支持"或"基于证据的支持就业"的研究.
- 包括同行评审的实证研究,检查外部上下文因素及其对IPS实施结果的影响;数据提取和分析描述性和主题性.
主要成果:
- 在选了1124个标题/摘要和119个全文后,包括了59项研究.
- 两个主要主题出现了: (1) 服务交付的外部决定因素 (政策,融资,组织安排) 和 (2) 影响实践证据的外部系统 (利益相关者战略进行本地实施和系统级扩展).
- 确定了促进或阻碍地方实施和系统级IPS扩展的因素.
结论:
- 外部上下文因素在国际心理健康服务中的IPS模型的实施和扩展中发挥着重要作用.
- 利益相关者考虑这些因素可以促进实施基于证据的实践的有效策略.
- 审查发现了知识差距,并建议了未来的研究方向.
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