无论如何,这是谁的工作? 对提供者在综合卫生机构诊断焦虑障碍的观点进行定性研究
Patricia V Chen1,2, Hardeep Singh3,4, Natalie E Hundt3,5,6
1Center for Innovations in Quality, Effectiveness, and Safety, 2450 Holcombe Blvd, Houston, TX, 77021, USA. patricic@bcm.edu.
The journal of behavioral health services & research
|September 19, 2024
概括
许多心理健康提供者很难将特定的焦虑障碍诊断赋予特定的焦虑障碍诊断,通常会默认使用未指定的诊断. 这种模糊性阻碍了在综合护理环境中提供有效,基于证据的治疗.
科学领域:
- 心理健康 心理健康
- 临床心理学 临床心理学
- 医疗保健系统研究 医疗保健系统研究
背景情况:
- 焦虑障碍影响到33%的美国成年人.
- 三分之一的门诊焦虑诊断是未指定的.
- 不明确的诊断可能会阻碍基于证据的治疗.
研究的目的:
- 检查心理健康提供者关于诊断焦虑障碍的观点.
- 了解角色和责任如何影响综合护理中的诊断实践.
- 在退伍军人卫生管理局 (VHA) 中确定特定焦虑症诊断的障碍.
主要方法:
- 与32名VHA精神卫生提供者的半结构面试.
- 矩阵分析以确定角色和责任.
- 专题分析,探索诊断和治疗的前景.
主要成果:
- 指定特定的诊断是职责,但不是大多数提供者的首要重点.
- 对于特定焦虑诊断的适当诊所设置存在不确定性.
- 没有明确的指定哪些心理健康专业人员应该提供特定的焦虑诊断.
结论:
- 提供者经常认为特定的焦虑诊断是另一个人的责任.
- 缺乏明确的指导方针有助于诊断的模糊性.
- 在以团队为基础的焦虑诊断中需要明确临床医生的问责制.
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