促进澳大利亚对失眠的认知行为疗法的持续获取:一个系统级的实施计划
Alexander Sweetman1, R Doug McEvoy1, Michael S Frommer2
1Adelaide Institute for Sleep Health, and Flinders Health and Medical Research Institute: Sleep Health, Flinders University, Adelaide, South Australia, Australia.
概括
在澳大利亚,改善对失眠认知行为治疗 (CBTi) 的准入需要一种系统层面的方法. 该计划确定了障碍,并实施了战略,以增加对失眠患者的CBTi可用性.
科学领域:
- 实施科学 实施科学
- 卫生系统研究 卫生系统研究
- 睡眠医学 睡眠医学
背景情况:
- 失眠是一种常见且具有影响力的睡眠障碍.
- 对于失眠的认知行为疗法 (CBTi) 是主要的治疗方法,但访问是有限的.
- 为解决澳大利亚的CBTi接入问题,制定了一项系统级实施计划.
研究的目的:
- 描述一个系统级的实施计划,旨在加强澳大利亚对CBTi的访问.
- 为全球其他地区的CBTi实施提供见解.
- 识别和解决CBTi访问的障碍.
主要方法:
- 一个多阶段计划 (2019-2023) 采用了系统层面的方法,知识经纪和共同设计.
- 使用了定性,定量和实施科学方法.
- 对CBTi访问的障碍和促进者被系统地绘制和分析.
主要成果:
- 从患者,临床医生和卫生系统的角度确定了CBTi访问的障碍.
- 一个利益相关者委员会共同设计了变革目标和战略.
- 倡议包括加强临床医师教育,促进自我指导的干预,并倡导资金.
结论:
- 实施计划在改善澳大利亚CBTi接入方面取得了显著进展.
- 持续的,长期的系统级变化需要利益相关者的持续承诺和资源.
- 该计划的框架可以指导未来的国际CBTi实施努力.
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