使用以人为中心的设计来开发和实施儿童心理健康护理准入计划
Chuan Mei Lee1,2, Joan Jeung1,3, Juliet C Yonek1
1Child and Adolescent Psychiatry Portal, Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, United States.
Frontiers in psychiatry
|January 23, 2024
概括
儿童和青少年精神病学门户网站 (CAPP) 计划通过将初级保健提供者与精神病学家联系起来,提高了儿童心理健康护理的准入. 以人为中心的设计和强大的合作伙伴关系是其快速增长和供应商满意度的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿童和青少年精神病学
- 以人为中心的设计
背景情况:
- 儿童获得心理健康护理仍然是一个挑战,特别是在服务不足的地区.
- 初级保健提供者 (PCP) 往往无法直接获得专门的精神病学咨询.
- 将行为健康服务纳入初级保健机构对于改善儿童心理健康结果至关重要.
研究的目的:
- 描述UCSF儿童和青少年精神病学门户网站 (CAPP) 计划的开发和实施情况.
- 突出以人为中心的设计 (HCD) 在塑造CAPP服务中的作用.
- 评估小儿精神卫生保健准入 (PMHCA) 计划的初始影响和增长.
主要方法:
- 利用以人为中心的设计 (HCD) 原则用于程序开发和代改进.
- 建立了一个远程咨询服务,通过电话热线将PCP与儿童和青少年精神病学家联系起来.
- 为儿科提供者实施培训和教育计划.
主要成果:
- CAPP迅速招募了来自36个县的257个实践中的1714名提供者.
- 截至2023年8月,为2,703名独特的儿科患者提供了3,288次咨询.
- 初步调查结果显示,尽管存在持续的整合挑战,但PCP的满意度很高.
结论:
- 多学科合作伙伴关系和以人为中心的方法对于PMHCA计划的成功和可持续性至关重要.
- HCD是设计和实施响应性心理健康服务的有效框架.
- CAPP模型展示了一种可扩展的解决方案,用于改善儿科精神卫生保健服务的提供.
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