哥伦比亚精神卫生服务的实施- 一个系统审查
Germán Andrés Alarcón Garavito1,2, Rochelle Burgess1, María Cecilia Dedios Sanguinetti2
1Institute for Global Health-University College London, London, United Kingdom.
PLOS global public health
|December 6, 2023
概括
在哥伦比亚实施社区心理健康服务面临着协调和资金不足等挑战. 促进者包括协议和社区参与,这对于以康复为导向的护理至关重要.
科学领域:
- 全球心理健康全球心理健康
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 哥伦比亚的心理健康服务受到武装冲突,临床重点和社会不平等的影响.
- 卡拉卡斯宣言促进了分散的,以社区为基础的心理健康服务,强调社会决定因素.
- 最近在哥伦比亚采用了这些方法,但实施情况不均.
研究的目的:
- 系统地审查哥伦比亚实施心理健康服务的障碍和促进因素.
- 在哥伦比亚背景下,增强对心理健康服务供应的理解.
- 确定影响社区和康复导向心理健康护理成功整合的因素.
主要方法:
- 在五个数据库中对过去十年的同行评审研究进行系统审查.
- 使用实施研究综合框架 (CFIR) 结构化的分析.
- 在全球心理健康的社会政治经济框架内考虑性别,种族和年龄的CFIR的调整;用于数据总结的叙事综合.
主要成果:
- 从1530个记录中,分析包括了12篇文章.
- 发现的主要障碍是:缺乏协调,工作量很大,资金不足.
- 主要促进者:使用协议,社区,利益相关者,用户和外部倡导者的参与.
结论:
- 在哥伦比亚,以社区为基础和以康复为导向的心理健康方法的持续重要性.
- 需要改善多部门参与者 (公共,私人,用户,家庭) 之间的协调.
- 解决实施障碍对于有效提供心理健康服务至关重要.
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