基于正念的减轻压力 医疗保险覆盖:如果,如何,什么时候? 一个综合的知识翻译 (iKT) 德尔菲关键信息分析分析
Hannah E Frank1, Ariana Albanese1, Shufang Sun2,3
1Department of Psychiatry and Human Behavior, The Warren Alpert Medical School, Brown University, Providence, RI USA.
美国医疗保险覆盖的基于正念的压力减轻 (MBSR) 需要有效性和安全性的证据. 关键障碍包括其非医学分类,而促进者涉及解决心理健康需求. 关于MBSR的进一步研究
科学领域:
- 整合和补充医学是整合和补充医学.
- 医疗保健服务研究 医疗服务研究
- 行为医学是一种行为医学.
背景情况:
- 基于正念的压力减轻 (MBSR) 有广泛的研究支持其有效性.
- 尽管有证据,但在美国,MBSR在很大程度上不受医疗保险的保护.
- 了解障碍物和促进者对于扩大保险覆盖面至关重要.
研究的目的:
- 确定有关MBSR的医疗保险覆盖决定的关键问题.
- 确定MBSR保险覆盖的障碍和促进因素.
- 建立必要的优先证据,以告知覆盖政策.
主要方法:
- 一个德尔菲过程,涉及来自不同利益相关者群体 (保险公司,临床医生,患者等) 的26名关键信息人员. ) 的情况.
- 定性访谈产生了与研究目标相关的初始项目库.
- 项目需要≥80%的共识才能保留,确保高度相关性和一致性.
主要成果:
- 149个项目中有42个 (28.2%) 符合共识标准.
- 覆盖范围的关键因素包括已证明的MBSR的有效性和安全性.
- 发现了障碍:MBSR不被视为医疗治疗,患者出勤问题. 促进者:MBSR对精神/精神和身体问题的潜力.
- 需要最优先的证据:MBSR对特定条件的有效性和对压力的影响.
结论:
- 本研究概述了研究和政策的关键领域,以促进MBSR的医疗保险覆盖.
- 解决已识别的障碍和利用促进者可以推动MBSR融入主流医疗保健.
- 未来的研究应该集中在产生关于MBSR临床有效性和经济价值的强有力的证据上.
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