在精神卫生保健中超越等待名单
Quang D Tran1,2
1Health Equity Research Lab, Cambridge Health Alliance/Harvard Medical School, Cambridge, MA, USA. qdtran33@gmail.com.
Community mental health journal
|February 7, 2024
概括
心理健康等待名单造成了护理障碍,特别是对于低收入人士来说. 这篇评论质疑它们的实用性,并建议基于社区的替代解决方案,以改善访问.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康护理 获取 获取
- 社区健康 社区健康
背景情况:
- 管理门诊心理健康等候名单是具有挑战性的,往往会造成护理服务不足的人群的障碍.
- 远程医疗在COVID-19期间扩大了接入范围,但没有解决需求和供应商短缺的根本问题.
- 等待列表可能会阻碍及时访问,影响患者的准备和参与心理健康治疗.
研究的目的:
- 批判性地评估非紧急门诊精神卫生保健的传统等待名单的有效性和实用性.
- 探索等待时间,患者准备治疗以及治疗参与度之间的关系.
- 提出心理健康服务提供的替代模式,以改善获得和患者的结果.
主要方法:
- 分析社区精神卫生机构等待名单管理的挑战.
- 应用等候队理论来评估门诊精神卫生服务等候名单的适当性.
- 探索基于社区的替代和协作护理模式.
主要成果:
- 等待名单往往是低效的,行政繁重,并作为障碍,而不是促进护理.
- 目前的等待列表系统不能充分解决患者的需求或优化治疗参与.
- 远程医疗虽然有益,但并没有消除系统性访问问题.
结论:
- 重新思考等待列表的必要性和结构对于改善心理健康护理的准入至关重要.
- 利用社区资源和患者赋权的替代策略可以增强服务提供.
- 需要创新的方法来克服障碍,并确保及时,有效的心理健康支持.
相关概念视频
Specialized Care Centers and Settings-I
943
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
943
Community Based Intervention
43
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
43
Specialized Care Centers and Settings-II
726
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
726
Healthcare Agencies II
698
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
698
Tertiary Healthcare System
1.8K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K
Psychosurgery
56
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
56


