改善多种精神和身体健康状况的协作管理:对设计技术支持的服务进行定性调查,以引起患者的价值观
William Wibowo Liem1, Emily G Lattie2, Bayley J Taple3
1Northwestern University, USA.
概括
患有多种慢性疾病 (MCC) 的患者需要更好的方法来协调护理优先事项. 技术支持服务 (TES) 可以帮助协调在初级和精神卫生保健中的价值提取,但患者的偏好各不相同.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 心理健康整合精神健康整合
背景情况:
- 多重慢性疾病 (MCC) 复杂化了协作医疗保健规划,特别是与同时出现的焦虑或抑郁症.
- 引起患者价值观可以使初级保健和心理治疗的优先事项保持一致,但这些过程往往是孤立的.
- 技术支持服务 (TESs) 有潜力将护理环境与价值观引发联系起来.
研究的目的:
- 探索患者对TES的偏好,以便在初级和精神卫生保健中协调价值诱导.
- 了解影响患者偏好不同模式价值诱导的因素.
主要方法:
- 与患有MCC的患者进行定性采访研究.
- 探索面对面,远程医疗和自我指导价值观的偏好.
- 分析患者对合理性,促进者的可信度和自我能力的看法.
主要成果:
- 患者对价值引发的偏好各不相同,有些人喜欢与心理健康临床医生进行面对面的会议,有些人喜欢远程医疗,还有一些自我指导的方法.
- 偏好受到感知到的好处,促进者信誉和患者参与能力的影响.
- 关于价值诱导的TES提出了重大担忧,需要仔细考虑.
结论:
- 使用TES在初级和精神卫生保健中整合价值提取,需要了解患者的不同偏好.
- 根据患者对益处,促进者和自我有效性的看法调整TES对于成功实施至关重要.
- 需要进一步的研究来解决患者的担忧,并优化TES设计,以便在MCC群体中获得值.
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