有意义的参与抑郁和焦虑协作护理:与系统案例审查的关联
Heather Huang1, Brandon Huynh1, Nichole Nidey2
1Department of Psychiatry, University of Wisconsin Hospitals and Clinics, Madison, WI.
Journal of the Academy of Consultation-Liaison Psychiatry
|February 3, 2024
概括
护理经理和精神病学家之间的系统案例审查显著提高了患者参与协作护理模式的机会. 确保对这些核心原则的高度忠实是初级保健中有效的行为健康治疗的关键.
科学领域:
- 行为健康 行为健康
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 协作护理 (CC) 是将行为健康整合到初级保健环境中的一个既定模式.
- CC团队包括初级保健提供者,护理经理 (CM) 和咨询精神科医生.
- 有限的数据存在于影响有意义的患者参与CC计划的因素.
研究的目的:
- 确定有意义地参与CC计划的患者比例.
- 确定与有意义地参与CC相关的因素.
主要方法:
- 数据从中西部学术医疗系统的27个初级保健诊所的6437名患者收集.
- 用于确定有意义参与的几率的物流回归分析 (n=5218).
主要成果:
- 总体而言,57%的患者实现了有意义的参与.
- 在CM和精神病医生之间进行的系统案例审查 (OR: 10.2) 和热情交接 (OR: 1.3) 与更高的参与度有关.
- 参与率因人口统计和临床因素而异.
结论:
- 行为健康管理人员和心理咨询师之间的系统案例审查与有意义的患者参与有很强的相关性.
- 建议在项目实施中高度忠实于CC的核心原则,特别是定期审查案例.
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