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开发一个在线教育平台,以加快在儿童和青少年心理健康服务中启动ADHD药物治疗:质量改进项目

Noah Stanton¹, Aadam Aziz², Salim Jakhra²

¹Central and North West London NHS Foundation Trust, London, UK noah.stanton3@nhs.net.

BMJ open quality

|March 28, 2025

概括

一个新的在线平台显著减少了注意力缺陷多动症 (ADHD) 药物的等待时间,减少了41%的等待时间,并改善了英国儿童和青少年心理健康服务 (CAMHS) 的患者启动率. 这个数字工具提高了ADHD治疗的可访问性.

科学领域:

数字健康数字健康
儿童和青少年精神病学儿童和青少年精神病学
医疗保健管理的管理

背景情况:

注意力缺陷多动症 (ADHD) 诊断和治疗启动的长时间等待对英国儿童和青少年心理健康服务 (CAMHS) 构成重大挑战.
对ADHD的治疗延迟可能导致患者的不良结果.
数字技术为减少医疗等待时间提供了潜在的解决方案.

研究的目的:

开发和评估一个在线平台,旨在教育家长关于多动症治疗的药物,并简化CAMHS内部的药物启动过程.
为了减少ADHD药物治疗的治疗开始时间 (TTI).
为了增加ADHD治疗药物的摄入量.

主要方法:

一个为期11个月的质量改进项目,利用三个计划-做-研究-行动 (PDSA) 周期.
开发一个在线平台,提供关于ADHD药物的心理教育视频,问答部分,资源链接和药物决策门户.
评估TTI的变化,药物开始率和用户满意度.

主要成果:

对ADHD药物的平均TTI降低了41%,从86天降至51天.
开始服用ADHD药物的患者比例从64%增加到70%.
平均用户满意度得分从4.13/5提高到了4.37/5.5.

结论:

开发的在线平台大大改善了ADHD护理的关键结果,包括减少等待时间和增加药物启动.
数字医疗保健解决方案已在当地成功实施,证明了其有效性.
该项目强调了数字健康干预在CAMHS内管理多动症的重大潜力.

关键词:

药物的安全性药物的安全性心理健康心理健康患者门户网站患者门户网站患者教育患者教育质量改善质量改善

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