评估实施和健康公平的决定因素,以制定一个促进计划,用于少数民族服务机构中不同强度的创伤后应激障碍 (PTSD) 治疗
Nuha Alshabani1, Laura Godfrey2, Cara Fuchs1
1Chobanian and Avedisian School of Medicine, Boston University.
Psychological services
|March 27, 2025
概括
在医院安全网中应用健康公平框架是新的. 这项研究确定了创伤后应激障碍治疗的实施和公平性决定因素,并制定了改善获得和患者参与的策略.
科学领域:
- 实施科学 实施科学
- 卫生公平研究 卫生公平研究
- 心理健康服务研究 心理健康服务研究
背景情况:
- 卫生公平实施框架正在扩大,但在医院安全网中未得到充分利用.
- 了解实施和公平决定因素对于有效的基于证据的实践 (EBP) 采用至关重要.
研究的目的:
- 应用健康公平实施框架,以确定实施和公平的决定因素.
- 在一个安全网医院中为三个创伤后应激障碍 (PTSD) EBP制定一个机构范围的便利化计划.
主要方法:
- 从临床病例咨询 (2020-2023) 中对94名研究人员现场笔记进行定性分析.
- 基于健康公平实施框架的编码书的开发,以指定决定因素.
- 创建一个实施便利化工具包,用于多个EBP的实施.
主要成果:
- 临床和EBP的共同决定因素包括提供者培训缺口,低效的转诊途径和患者参与障碍 (耻辱,识字,不信任).
- 在每个诊所和EBP中观察到决定因素的细微差别.
- 整个机构的便利化策略重点是提高服务获取,质量和患者参与度.
结论:
- 实施科学对于推进健康公平至关重要.
- 在各个环境中汇集决定因素有助于倡导与医院领导层一起制定系统级便利化策略.
- 调查结果为改进精神卫生保健提供和安全网设置中的公平性制定战略提供信息.
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