护理整合超越了共同定位:创建一个医疗家园
Elizabeth H Flanagan1, Janan P Wyatt2,3, Anthony J Pavlo1
1Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA.
Administration and policy in mental health
|November 28, 2023
概括
整合心理健康和初级保健需要的不仅仅是同居. 提供者之间的有效沟通和医疗记录,以及同行导航,对于严重精神疾病 (SMI) 的成功护理整合至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 精神病学是一个精神病学.
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 严重精神疾病 (SMI) 与显著的发病率和过早死亡率有关.
- 整合心理健康和初级保健对于改善SMI人群的结果至关重要.
- 服务的共同定位是一个常见的策略,但它的有效性需要进一步研究.
研究的目的:
- 调查社区心理健康中心 (MHC) 中精神健康和初级保健服务的整合.
- 探索MHC工作人员,PCC工作人员和MHC客户关于共设服务的经验和看法.
- 识别导致成功的护理整合的关键因素,超越最初的共同位置.
主要方法:
- 使用了定性焦点小组和定量在线调查.
- 参与者包括MHC工作人员 (临床,非临床,领导),PCC工作人员和不使用PCC的MHC客户.
- 数据是在共定位服务实施后的一年和两年收集的.
主要成果:
- 最初,MHC工作人员报告说,他们对共设的初级保健中心 (PCC) 的认识和期望有限.
- 成功的整合需要的不仅仅是共同位置;同行健康导航被认为是有益的.
- 加强整合需要改善医疗记录和机构间提供商之间的沟通.
结论:
- 对于SMI人群来说,护理整合从共同位置和强大的沟通中受益.
- 除了协商,协调和协作之外,共同定位和沟通对于集成至关重要.
- 开发医疗家庭模型需要无沟通和综合服务.
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