支持对英格兰成年ADHD的初级保健处方:全国调查
Anna Price1, Kieran Becker1, John H Ward2
1University of Exeter Medical School, Exeter.
概括
在初级保健中,对处方成人注意力缺陷多动症 (ADHD) 药物的支持在整个英格兰是不一致的. 许多患者面临着长时间等待成人心理健康服务 (AMHS),突出了护理协调方面的差距.
科学领域:
- 神经发育障碍 神经发育障碍
- 药理疗法 药理疗法 药理疗法
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 注意缺陷多动性障碍 (ADHD) 是一种流行的神经发育障碍.
- 有效的药理疗法存在成人多动症,改善症状和减少并发症.
- 国家指导方针建议根据与成人精神卫生服务 (AMHS) 的共享护理协议,对成年ADHD进行初级保健处方,但供应不均.
研究的目的:
- 描述英格兰成年ADHD药物的初级保健处方的支持要素.
- 评估这些支持元素的可用性和使用情况.
- 为这些服务不足的人群提供服务改进的信息.
主要方法:
- 在英格兰各地对专员,卫生专业人员 (HP) 和有过ADHD生活经验 (LE) 的人进行了横截面调查.
- 收集了关于处方率,AMHS可用性,等待时间和共享护理协议协议的数据.
- 描述性分析,百分比,置信区间和视觉映射用于总结和探索供应的变化.
主要成果:
- 42名专员,331名HP和409名LE的782个回复表明报告的供应 (例如处方费率) 存在差异.
- 超过40%的受访者报告AMHS延长了两年或更长的等待时间.
- 观察到等待时间的区域差异很大,伦敦的等待时间最低 (25%),英格兰东部的等待时间最高 (55%).
结论:
- 在英格兰,支持在初级保健中共享护理处方ADHD药物的基本要素并不普遍存在.
- 提供缺口和AMHS的长期等待时间阻碍了有效的治疗机会.
- 需要协调策略来解决这些缺陷,并改善ADHD成年人的护理.
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