改善反向集成的因素:一种混合方法嵌入式设计研究
Aundrea Burner1, Carol Wahl2, Leeza Struwe2
1University of Nebraska Medical Center, 550 N 19th Street, Lincoln, NE, 68588-0620, USA. aundrea.burner@gmail.com.
Community mental health journal
|November 20, 2023
概括
认证的社区行为健康诊所 (CCBHC) 整合了初级和行为保健,提高了患者的满意度和保留率. 真正的整合需要有效的沟通和实践变化,而不仅仅是接近.
科学领域:
- 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
- 整合初级保健的整合.
背景情况:
- 严重精神疾病 (SMI) 与获得初级保健服务的重大不平等有关.
- 药物滥用和心理健康服务管理局 (SAMHSA) 资助认证的社区行为健康诊所 (CCBHC) 通过综合护理模式来弥补这一差距.
研究的目的:
- 测量CCBHC在一个时间点实现的反向集成水平,根据SAMHSA的定义.
- 在综合护理环境中评估患者和提供者经验.
主要方法:
- 采用混合方法方法,结合了与患者和提供者进行半结构面试的定性数据.
- 使用推断统计分析了定量数据,特别是Kruskal Wallis H测试.
- 该研究的重点是评估CCBHC环境中的反向集成程度.
主要成果:
- 在综合CCBHC接受初级保健的患者报告说,与接受非综合保健的患者相比,他们的满意度更高.
- 综合环境中的患者更有可能继续与他们目前的提供者进行护理.
- CCBHC实现了4级整合,表明了高度的护理协调.
结论:
- 在医疗保健环境中实现真正的整合需要的不仅仅是身体接近;有效的沟通和实践变革的战略实施至关重要.
- 综合护理模型,如CCBHCs中的那些,在改善严重精神疾病患者的患者结果和医疗保健公平方面显示出希望.
相关概念视频
Group Design
8.9K
The most basic experimental design involves two groups: the experimental group and the control group. The two groups are designed to be the same except for one difference— experimental manipulation. The experimental group gets the experimental manipulation—that is, the treatment or variable being tested—and the control group does not. Since experimental manipulation is the only difference between the experimental and control groups, we can be sure that any differences between...
8.9K
Factorial Design
13.0K
Factorial Analysis is an experimental design that applies Analysis of Variance (ANOVA) statistical procedures to examine a change in a dependent variable due to more than one independent variable, also known as factors. Changes in worker productivity can be reasoned, for example, to be influenced by salary and other conditions, such as skill level. One way to test this hypothesis is by categorizing salary into three levels (low, moderate, and high) and skills sets into two levels (entry level...
13.0K
Crossover Experiments
2.9K
Crossover experiments, also called the repeated-measurements design, is a study design in which all experimental units are exposed to all treatments in different periods. Crossover experiments are generally used in psychology, the pharmaceutical industry, agriculture, and medicine.
Crossover designs are performed even with smaller sample sizes since the samples can act as their controls. These are better than simple randomized trials since patients are exposed to all the treatments.
Crossover designs are performed even with smaller sample sizes since the samples can act as their controls. These are better than simple randomized trials since patients are exposed to all the treatments.
2.9K
Strategies for Assessing and Addressing Confounding
103
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
103
Experimental Designs
11.4K
An experimental design is a systematic process that allows researchers to evaluate the relationship between dependent and independent variables. There are three widely used types of experimental design - pre-experimental design, true experimental design, and quasi-experimental design. In pre-experimental design, the researcher compares the data before and after some interventions or treatments. The true-experimental design has more than one purposefully created group, a commonly measured...
11.4K


