在儿科初级保健机构实施行为健康整合计划的考虑:质量研究
Sarah L Goff1, Betsy Brooks2, Marisa C DaCosta1
1University of Massachusetts Amherst, School of Public Health and Health Sciences, Health Promotion and Policy, 715 N. Pleasant Street, Amherst MA, 01002, USA.
Academic pediatrics
|November 4, 2024
概括
小儿初级保健医生发现,行为健康整合计划 (BHIP) 有助于整合行为健康 (BH) 护理. 关键的障碍和促进者涉及到BH整合的实践结构,文化和财务方面.
科学领域:
- 儿科初级医疗保健的儿童初级医疗保健.
- 行为健康整合行为健康整合
- 实施科学 实施科学
背景情况:
- 16%的美国儿童有行为健康 (BH) 障碍,但只有不到一半的儿童得到了足够的护理.
- 在初级保健中整合的BH计划可以弥合这种护理差距.
- 这项研究探讨了临床医生的经验与一个新的BH整合计划.
研究的目的:
- 了解儿科初级保健临床医生与行为健康整合计划 (BHIP) 的经验.
- 确定在儿科初级保健中实施BH整合计划的障碍和促进者.
主要方法:
- 使用与31名临床医生进行半结构面试的定性研究.
- 使用实施研究综合框架 (CFIR) 作为理论框架.
- 采用基于构造主义基础理论的归纳和演分析.
主要成果:
- 大多数临床医生支持BH整合,并发现BHIP促进了这一点.
- 障碍物和促进因素主要与CFIR的内部和外部设置领域有关.
- 关键主题包括BH护理提供/融资,实践结构,文化和临床医生的影响.
结论:
- BHIP有效地支持了BH在不同环境中的整合.
- 建议包括加强BH临床医师培训和特定背景的定制.
- 需要宣传,以解决BH护理的结构性障碍.
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