减少枪支获取自杀预防:基于网络的"锁住生活"决策援助在日常医疗保健遭遇中的实施评估
Julie Angerhofer Richards1,2, Elena Kuo1, Christine Stewart1
1Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States.
JMIR medical informatics
|April 22, 2024
概括
锁定生活 (L2L) 是一个基于网络的工具,有助于减少那些有自杀风险的人使用枪支. 将L2L集成到电子健康记录中,大大提高了临床医生的采用率和患者对预防自杀的接触.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务 心理健康服务
- 预防自杀 预防自杀
背景情况:
- 锁定生活 (L2L) 是一款基于网络的新决策辅助工具,旨在帮助有自杀风险的个人减少获得枪支的机会.
- 以前的研究证实了L2L的可行性和患者的接受性,但在常规护理环境中的实施仍未得到充分研究.
研究的目的:
- 在日常初级保健和心理健康专业接触中支持L2L工具的实施和评估.
- 通过RE-AIM框架评估L2L的覆盖范围,采用和实施情况.
主要方法:
- 该研究于2020年1月至2021年12月在凯泽永久华盛顿 (KPWA) 进行.
- 与患者 (n=36) 和临床医生 (n=30) 的定性访谈为实施策略提供了信息.
- 分析了电子健康记录 (EHR) 数据,以跟踪高风险患者的L2L覆盖和采用.
主要成果:
- 对L2L引入的关键患者推包括开放的沟通和验证患者经验.
- 临床医生更喜欢将L2L集成到EHR安全计划模板中,而不是手动添加.
- 通过L2L显著增加,在初级保健中达到29%,在心理健康临床医生中达到48%,到研究期末.
结论:
- 了解用户的观点对于成功实施和采用L2L至关重要.
- 将L2L集成到现有的EHR安全计划模板中被证明是一个非常有效的实施策略.
- 开发的研究结果和工具为医疗保健机构在全国范围内开展自杀预防工作提供了有价值的策略.
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