清晰思考:在初级保健中整合的预防性认知健康访问
Amy L Buchanan1, Rachana Kotecha1
1One Medical, San Francisco, CA, USA.
Journal of primary care & community health
|August 15, 2024
概括
健康的心态访问有效地确定了患者的心理和认知健康问题,增加了护理利用率和改善了健康信心. 这种预防方法成功地接触到服务不足的人群,并促进了早期干预.
科学领域:
- 主要护理是指初级护理.
- 预防性健康 预防性健康
- 心理健康 心理健康
背景情况:
- COVID-19大流行加剧了心理和认知健康问题,减少了医疗保健利用率.
- 延迟护理可能导致临床结果恶化,特别是在受益于早期干预的疾病中.
- 需要创新的策略来重新吸引患者,并识别新出现的心理和认知健康问题.
研究的目的:
- 引入和评估一种新的预防性访问类型,即健康心灵访问,旨在识别需要护理的患者.
- 支持在初级保健机构中早期发现心理和认知健康问题.
- 评估健康思维访问对患者参与和临床结果的影响.
主要方法:
- 健康的心态访问是作为由初级保健提供者 (PCP) 提供的预防性服务而开发的.
- 这次访问包括访问前的心理健康查和简短的计算机认知评估.
- 在2.5年内收集的数据分析了预订模式,抑郁症查 (PHQ-9) 和健康信心和动机等临床结果.
主要成果:
- 健康的头脑访问促进了抑郁症查,有29.6%的参与者接受了PHQ-9.
- 82.5%的PHQ-9得分升高的患者参加了PCP的随访.
- 该计划增加了护理利用率,73.5%的参与者是新患者或在缺席6个月后返回的患者.
- 值得注意的结果包括改善健康信心和访问后患者的高动力.
结论:
- 健康的头脑访问成功参与的患者,他们可能不会寻求照顾.
- 该计划支持早期识别和治疗抑郁症,导致积极的临床结果.
- 将心理和认知健康评估整合到初级保健中,可以提高患者的参与度和改善健康结果.
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