评估实施FLOW计划的实施情况,以增加获得心理健康护理的机会
Natalie E Hundt1,2,3, Maribel Plasencia4,5,6, Amber B Amspoker4,6,7
1Michael E. DeBakey VA Medical Center, VA HSR Center of Innovations in Quality, Effectiveness, and Safety, Houston, TX, USA. Natalie.Hundt@va.gov.
The journal of behavioral health services & research
|May 24, 2024
概括
"流动"计划成功地将退伍军人从精神健康专业转移到初级保健,显示出高的患者满意度. 然而,各个地点的实施情况各不相同,这表明需要有针对性的支持策略.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提供心理健康护理 提供心理健康护理
- 实施科学 实施科学
背景情况:
- 专业心理健康 (SMH) 服务面临着接入挑战和任命负担.
- 将患者转移到初级保健 (PC) 可以改善改善或缓解条件的患者的获取.
- 该计划旨在优化退伍军人的SMH到PC过渡.
研究的目的:
- 评估FLOW计划在多个退伍军人事务 (VA) 站点的实施和有效性.
- 评估患者的覆盖范围,提供者采用情况以及退伍军人对过渡过程的满意度.
- 为了确定FLOW计划在时间上的可持续性.
主要方法:
- 使用集群随机阶段形试验设计进行混合方法评估.
- 从VA数据库,仪表板和半结构面试中收集的数据.
- 以 RE-AIM (覆盖范围,采用,有效性,实施和维护) 框架为指导.
主要成果:
- 平均覆盖率为1.36%的符合条件的SMH患者过渡到PC;平均提供者采用率为10.2%.
- 大约75%的退伍军人表示完全满意和共享决策.
- 在6个月的维持期内,过渡率保持稳定.
结论:
- 在VA环境中,FLOW程序展示了成功的实施和维护潜力.
- 在不同地点实施成功的显著差异需要进一步的调查和支持.
- 未来的研究应该专注于在陷入困境的网站中提高实施忠实性的策略.
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