在第一次精神病发作中寻求帮助的结构性障碍:系统性审查和主题综合
Chiara Causier1,2, Felicity Waite2,3, Nithura Sivarajah1,2
1Oxford Institute of Clinical Psychology Training and Research, University of Oxford, Oxford, UK.
Early intervention in psychiatry
|February 15, 2024
概括
患者和护理人员在寻求第一发精神病的帮助时面临重大结构性障碍,包括成本和限制性政策. 解决这些问题对于改善精神病早期干预至关重要.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
背景情况:
- 及时治疗对于精神病的早期干预至关重要,但许多障碍阻碍了获得护理的机会.
- 从患者和护理人员的角度了解结构性障碍对于有效的寻求帮助策略至关重要.
研究的目的:
- 系统地审查患者和护理人员在寻求第一发精神病帮助时所面临的结构性障碍.
- 确定克服这些障碍的建议.
主要方法:
- 定性研究的系统审查 (2001-2023年).
- 在2023年9月进行的搜索.
- 数据的主题综合,使用CASP进行质量评估.
主要成果:
- 来自11个国家的19项研究发现了重要的结构性障碍.
- 报告指出,获得医疗保健的复杂性,患者需求与服务资源的不一致,以及提供者的专业知识的变化.
- 他们强调了负面的医疗保健经历以及早期护理人员参与和同行支持的需要.
结论:
- 阻碍家庭参与的立法做法以及高的医疗保健/运输成本构成了主要的结构性障碍.
- 与患者和护理人员共同设计服务可以改善访问.
- 未来的研究应该包括那些没有获得专业帮助的人的观点.
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