在精神病早期干预服务中,在初级和专科护理界面之间的合作:一种定性研究
Michelle Rickett1, Tom Kingstone2, Veenu Gupta3
1School of Medicine, Keele University, Keele.
概括
对于新出现精神病症状的人来说,初级保健参与至关重要. 精神病早期干预 (EIP) 服务应整合全科医生 (GPs) 以获得更好的支持和更顺的过渡.
科学领域:
- 精神病学是一个精神病学.
- 主要护理医学 医疗保健
- 心理健康服务研究 心理健康服务研究
背景情况:
- 精神病早期干预 (EIP) 服务管理患有新精神病症状的个人.
- 患者经常从EIP服务中退院回到初级保健.
研究的目的:
- 调查初级保健在EIP服务中支持患者的作用.
- 探索EIP服务与初级保健之间的界面中的挑战和机遇.
主要方法:
- 使用半结构面试进行的定性研究.
- 参与者包括服务用户,护理人员,全科医生和EIP从业人员.
- 采访数据采用了使用恒定比较原则的专题分析.
主要成果:
- 大多数用户和护理人员报告了积极的EIP体验,但访问和放电带来了挑战.
- 一般医生在转诊方面遇到了困难,与EIP患者的接触有限,并且被排除在出院计划之外.
- 服务用户和护理人员报告说,在从EIP出院到初级保健期间,他们感到被遗弃.
结论:
- 一般医生应参与支持EIP服务用户,特别是身体健康监测和管理.
- 将总体医生纳入EIP放电计划对于无过渡至关重要.
- 建议与服务用户,护理人员,EIP护理协调员和全科医生进行联合咨询,以改善护理过渡.
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