英国成人多动症服务处于危机之中
Michael C F Smith1, Raja A S Mukherjee2, Ulrich Müller-Sedgwick3,4
1Leeds and York Partnership NHS Foundation Trust, Leeds, UK.
英国的成人注意力缺陷多动症 (ADHD) 服务面临着危机,原因是需求压倒性,等待时间长. 解决这一问题需要增加资金,提高系统效率和提供劳动力解决方案.
科学领域:
- 神经发育障碍 神经发育障碍
- 公共卫生政策 公共卫生政策
- 医疗保健系统 医疗保健系统
背景情况:
- 英国的成人注意力缺陷多动症 (ADHD) 服务需求空前,导致关键能力问题.
- 过去二十年来,ADHD的识别和治疗选择越来越多,导致临床需求增加,COVID-19大流行进一步加剧了这一趋势.
- 尽管服务扩展,但资源分配不足导致成年ADHD护理等待时间显著延长.
研究的目的:
- 分析英国成人多动症服务当前的危机.
- 确定导致延长等待时间和服务分散的因素.
- 为改善ADHD服务采购和提供提出潜在解决方案.
主要方法:
- 服务提供挑战的定性分析.
- 审查英国成人多动症服务需求和能力指标.
- 审查资金不足和市场动态对服务提供的影响.
主要成果:
- 对成人多动症服务的需求明显超过目前的容量,导致长时间的等待列表.
- 资金不足导致了分散的服务格局,人们越来越依赖独立提供商.
- 治疗延迟给整个卫生,社会护理和刑事司法系统带来了巨大的人力和财务成本.
结论:
- 英国成人多动症服务模式迫切需要重新评估和改革.
- 潜在的解决方案包括增加资金,提高系统效率,修订服务提供和战略临床优先级.
- 建议解决方案的有效性取决于解决财政限制和劳动力限制的问题.
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