基于中心的精神病和初级保健计划的实施和调整:对无护理优化患者体验 (SCOPE) 心理健康计划的定性描述性分析
Carly Whitmore1,2, Mona Emam3,4, Pauline Pariser3,4,5
1School of Nursing, McMaster University-Hamilton, Ontario, Canada.
无护理优化患者体验 (SCOPE) -心理健康计划成功地适应了当地需求,增强了初级保健心理健康服务. 成功的关键因素包括医生采用和社区联系,并建议可持续的资金.
科学领域:
- 医疗保健管理的管理
- 心理健康服务研究 心理健康服务研究
- 初级保健创新初级保健的创新
背景情况:
- 无护理优化患者体验 (SCOPE) -心理健康计划是一个灵活的倡议,支持初级保健医生提供心理健康护理.
- 它通过可适应社区资源和需求的以枢纽为基础的模型增强初级保健能力和患者获取机会.
研究的目的:
- 检查大多伦多地区SCOPE网站跨越协作心理健康模型的演变.
- 专注于特定地点的适应,实施挑战和计划开发和可持续性的战略.
主要方法:
- 使用半结构面试对来自8个SCOPE-心理健康站点的员工进行定性描述性研究.
- 采访进行虚拟 (2023年3月至7月) 和数据分析使用定性内容分析,以RE-AIM框架为指导.
主要成果:
- 该计划的灵活性允许根据社区需求和现有资产进行本地适应.
- 初级保健医生的采用对于计划的成功至关重要,促进了效率和协作.
- 维护涉及完善途径和解决营销/融资问题;挑战包括员工连续性,医生薪酬和EHR互操作性.
结论:
- SCOPE-心理健康计划有效地将初级保健,医院和社区资源联系起来,以改善心理健康护理.
- 针对性方法和持续评估对于旨在在服务不足地区产生持久影响的类似计划至关重要.
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