意大利国家卫生系统中的心理干预:适当性和问责制
1Mental Health Department, Toscana Centro Local Health Unit, Florence. alessandro.ridolfi@uslcentro.toscana.it.
临床心理学和心理治疗干预越来越多地因其在公共卫生中的有效性而受到重视. 未来纳入护理途径需要一个超越成本效益分析的框架来确定结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床心理学 临床心理学
- 心理治疗 心理治疗
背景情况:
- 临床治理强调高质量的健康干预措施.
- 利益相关者对干预的评价不同.
- 临床心理学和心理治疗越来越多地被认为是有效的.
研究的目的:
- 探索临床心理学和心理治疗在公共卫生中的不断变化的作用.
- 提出一个概念框架来评估这些干预措施超越成本效益分析.
主要方法:
- 关于临床治理和干预价值的文献综述.
- 认识论和方法论挑战的概念分析.
- 建议将临床适当性和问责制作为元级变量.
主要成果:
- 干预措施必须是适当的和可衡量的,以便系统地纳入护理途径.
- 简单的成本效益评估不足以确定心理干预的价值.
- 临床适当性和问责制对于确定结果至关重要.
结论:
- 预计将临床心理学和心理治疗纳入定义的护理途径.
- 需要一个强大的概念框架来解决干预价值的多面性质.
- 超越成本效益分析对于准确评估心理干预结果至关重要.
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