在青少年住院精神病学部门实施患者报告的结果措施:可行性研究
Carl Waitz1, Annmarie Caracansi1, Katy Kaufman1
1Boston Children's Hospital.
Psychological services
|March 14, 2024
概括
在青少年住院精神病学中实施患者报告结果 (PRO) 措施是可行的. 即使没有专门的资金,这些服务也可以实现高的PRO完成率,类似于已发表的研究,确保代表性数据捕获.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 医疗保健实施科学 医疗保健实施科学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 青少年住院精神病学服务在系统收集患者反方面经常面临挑战.
- 患者报告的结果 (PROs) 对于了解患者体验和治疗有效性是有价值的.
- 实行PRO的可行实施对于改善精神病诊所护理质量至关重要.
研究的目的:
- 评估将患者报告结果 (PRO) 措施纳入青少年住院精神病治疗的可行性.
- 在试点阶段和全面实施阶段评估PRO的技术实施和完成率.
- 为了确定人口或诊断因素是否影响青少年住院患者的PRO完成.
主要方法:
- 在2021年3月至2022年6月的青少年住院精神病学服务中进行了一项研究,涉及154名患者.
- PRO措施试点实施了3个月,随后进行了12个月的全面实施.
- 使用统计分析,包括费舍尔的精确测试和独立的t测试,将完成PROs的患者与没有完成PROs的患者进行比较.
主要成果:
- 项目完成率从试点阶段的31.8%大幅增加到全面实施期间的74.5%.
- 根据诊断,性别或种族/种族,没有发现PRO完成的显著差异.
- 该研究表明,PRO可以在没有专门资金的情况下成功实施.
结论:
- 患者报告的结果措施可以在青少年住院精神病学环境中切实实施.
- 高的 PRO 完成率是可以实现的,即使在资源有限的环境中.
- 实施PRO允许精神病学服务从大多数患者中获取数据,提高护理评估.
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