在巴西组织初级精神卫生保健的干预的效果:基于例行流程指标的研究
Ilana Eshriqui1, Letícia Yamawaka de Almeida2, Joana Moscoso Teixeira de Mendonça2
1Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. ilana.eoliveira@einstein.br.
BMC primary care
|February 26, 2025
概括
"初级医疗保健 (PHC) 项目中的心理健康护理表明,该项目可能会对巴西的心理健康转诊和精神药物治疗产生潜在影响. 为了准确的评估,需要进一步改进PHC心理健康记录.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 初级医疗保健是一项主要的医疗保健.
背景情况:
- "初级医疗保健 (PHC) 中的心理健康护理"项目 (SMAPS) 在巴西的六个卫生区域实施.
- 需要在现实环境中使用服务记录数据监测和评估心理健康 (MH) 护理.
研究的目的:
- 评估SMAPS项目对PHC内MH护理过程指标的影响.
- 用官方卫生服务记录中的数据来评估MH护理.
主要方法:
- 一项从2022年1月到2023年9月进行的试点研究.
- 涉及巴西14个市镇的18个卫生保健单位,分配给干预或控制组 (2:1比率).
- 在两个时间点收集二次数据,使用标准化工具从管理报告中检索聚合数据.
主要成果:
- 在干预组和对照组中,对MH专业的参考率似乎在下降.
- 干预组的佐地亚类药物处方减少,但对照组增加.
- 抗精神病,抗和抗抑郁药物的使用在干预组增加,在对照组减少;然而,没有发现群体之间的统计学上显著差异.
结论:
- 该SMAPS项目可能对PHC的MH护理组织产生了潜在的影响,特别是在转诊和精神药物治疗方面.
- 这项研究强调了现有的医疗服务记录对于评估MH护理的有用性.
- 强调在日常PHC工作中提高MH护理记录的质量至关重要.
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