全国对QbTest进行评估,以支持ADHD评估:一种现实世界的混合方法方法
Sophie S Hall1, Caitlin McKenzie2, Louise Thomson3
1Nottingham Clinical Trials Unit, School of Medicine, University of Nottingham, Nottingham, UK.
BMC health services research
|October 8, 2024
概括
诊断注意力缺陷多动症障碍 (ADHD) 的工具QbTest略减少了预约,但增加了整体诊断时间. 儿科服务看到了更多的好处,尽管COVID-19影响了结果.
科学领域:
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- QbTest是一种计算机化工具,可帮助诊断注意力缺陷多动症障碍 (ADHD).
- 从2020年4月到2023年3月,英国的儿童和青少年心理健康服务 (CAMHS) 和儿科网站实施了QbTest的国家计划.
- 本研究评估了QbTest实施对诊断评估效率的影响.
研究的目的:
- 评估QbTest实施对ADHD诊断所需时间的影响.
- 探索医疗保健工作人员和患者/护理人员对QbTest实用性的看法.
- 确定将QbTest整合到常规临床实践中的潜在好处和挑战.
主要方法:
- 一种混合方法的方法,结合案例笔记分析,医疗保健工作人员采访和调查.
- 从20个地点分析了病例说明数据,以比较诊断时间 (约会和日期) 之前和之后的QbTest.
- 从采访 (n=21) 和调查 (n=87) 中获得的定性数据被分析为主题和描述.
主要成果:
- 观察到从转诊到诊断的时间减少了0.37次 (11.5%) 和增加了55天 (12.5%).
- 儿科服务显示出更大的改善,从转诊到诊断的时间缩短,预约更少.
- 工作人员认为QbTest支持更快,更有效的流程,有助于患者理解,尽管存在一些后勤挑战.
结论:
- 在ADHD诊所实施国家QbTest导致约会量略有减少,但整体诊断途径更长.
- 儿科站点展示了QbTest集成带来的最显著的好处.
- 由于COVID-19对数据的潜在影响,建议进一步评估.
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