在一般实践中,心理健康护理和务实共享决策:采访研究
Désanne Noordam1,2, Monique Heijmans3, Janneke Noordman3
1Nivel (Netherlands Institute for Health Services Research), Utrecht, The Netherlands d.noordam@nivel.nl.
BJGP open
|November 5, 2024
概括
医疗保健提供者因长期治疗等待时间等挑战而在精神卫生保健中适应共享决策 (SDM). 患者经常觉得这种方法很麻烦,特别是当缺乏治疗偏好时.
科学领域:
- 一般的做法一般的做法.
- 心理健康护理 心理健康护理
- 共享决策 (SDM) 是一种共享决策.
背景情况:
- 预计一般医疗服务提供者将在精神卫生保健中使用共享决策 (SDM).
- 具有挑战性的心理健康护理环境,如治疗等待时间,对SDM的影响尚不清楚.
研究的目的:
- 探索医疗保健提供者和患者在一般实践中如何在具有挑战性的心理健康护理环境中参与SDM.
主要方法:
- 在七个荷兰一般实践中进行的定性面试研究.
- 与全科医生 (GPs),精神保健护士 (PNMHs) 和寻求心理健康护理的患者进行半结构面试.
- 采访数据的演和归纳主题分析.
主要成果:
- SDM主要讨论了关于二级精神卫生保健治疗的问题.
- 据PNMH报告,他们缺乏对治疗和等待时间的概述,这导致他们直接指示患者独立搜索.
- 许多患者,特别是那些对精神卫生保健的新手,发现这很麻烦,并且经常缺乏治疗偏好,导致提供者务实地将他们转移到具有更短等待时间的设施.
结论:
- 医疗保健提供者和患者在一般实践中调整他们的SDM方法以应对心理健康保健的挑战.
- 需要进一步的研究来了解SDM是如何实施的,并受到各种医疗保健环境中具有挑战性的环境的影响.
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