改善马拉维的综合抑郁症和非传染性疾病护理,通过积极的领导和支持性实施气候变化
Griffin M Sansbury1, Brian W Pence2, Chifundo Zimba3
1Tidziwe Centre, University of North Carolina Project-Malawi, Private Bag A-104, Lilongwe, Malawi. griffin.sansbury@alumni.unc.edu.
BMC health services research
|December 15, 2023
概括
在马拉维,积极的领导力.
科学领域:
- 全球健康 全球健康
- 心理健康整合精神健康整合
- 非传染性疾病 (NCD) 是一种非传染性疾病.
背景情况:
- 低收入和中等收入国家的有限的心理健康服务需要融入初级保健.
- 将抑郁症治疗纳入撒哈拉以南非洲的NCD环境是可行的,但面临领导和实施挑战.
- 马拉维的NCD诊所提供了一个研究领导力在整合抑郁症护理中的作用的背景.
研究的目的:
- 确定领导力策略,以克服将抑郁症护理整合到马拉维NCD诊所的障碍.
- 了解诊所领导如何影响心理健康服务的实施气候.
主要方法:
- 在马拉维10家非传染性疾病诊所进行了39次深入采访,对10家马拉维非传染性疾病诊所的医疗保健专业人员进行了深入采访.
- 参与者包括地区医务官,NCD协调员,NCD提供者和研究助理.
- 使用归纳和演方法进行主题分析,检查领导和实施的气候影响.
主要成果:
- 积极参与,易于接触的领导人促进了积极的实施气候,增强了克服障碍的能力.
- 领导者积极指导员工,解决问题,并利用他们的影响力塑造提供者对抑郁症护理的态度.
- 优先考虑团队合作和集体所有权,增加了提供者的责任和干预成功.
结论:
- 显而易见的领导和开放的沟通对于扩大马拉维NCD诊所的抑郁症治疗至关重要.
- 这些策略对于在低资源环境中弥补实施差距至关重要.
- 改善领导力和实施气候可以促进精神卫生服务的整合.
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