调整客户优先级评级表,以更好地适应性健康咨询环境:质量改进研究
Katherine Coote1, Fiona O'Neill2, Eve Slavich3
1Sydney Sexual Health Centre, Level 3, Nightingale Wing, Sydney Eye Hospital, 8 Macquarie Street, Sydney, NSW 2001, Australia.
Sexual health
|February 26, 2024
概括
为性健康咨询制定了修订后的客户优先级评级表 (CPRS-R),改进了客户风险评估,超出了简单的等待时间. 这种经过验证的工具有助于有效地确定护理的优先级.
科学领域:
- 临床心理学 临床心理学
- 公共卫生 公共卫生
- 性健康服务性健康服务.
背景情况:
- 社区诊所往往超出容量,导致咨询等待名单.
- 仅仅在等待时间上优先考虑客户可能会忽视关键的风险因素.
- 现有的分类工具需要适应性健康等专业环境.
研究的目的:
- 适应现有的验证咨询选工具,以满足性健康环境的特定需求.
- 开发一种更准确的方法来评估性健康咨询中的客户优先级.
- 改进基于客户风险的有限咨询资源的分配.
主要方法:
- 对性健康顾问进行客户优先级指标调查.
- 系统地使用调查数据和文献开发修订的客户优先级评级表 (CPRS-R).
- 通过专家审查和与原始CPRS进行比较来验证CPRS-R,使用假设的临床图片.
主要成果:
- 该CPRS-R证明了标准,内容和面部有效性.
- 与CPRS相比,Interrater协议显示了CPRS-R的边际,非显著的改善 (28%对11%,P=0.06).
- 根据Gwet的AC和Krippendorff的Alpha,这两种尺度都表现出可比的间可靠性 (对于CPRS-R来说是相当大的,对于CPRS来说是适度的).
结论:
- CPRS-R是一种经过验证的选工具,适用于性健康咨询机构.
- 该尺度提供中等至实质性的评级者间可靠性.
- 它是临床判断和同行咨询的宝贵辅助工具,有助于优先考虑性健康咨询客户.
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