一个以患者为中心的结果框架,用于评估行为健康危机护理
Ashlyn Burns1, Emily Meanwell1, Justin Blackburn1
1Department of Psychiatry, Indiana University School of Medicine, Indianapolis (Burns, Adams, Hulvershorn); Department of Sociology (Burns, Pescosolido), Social Science Research Commons (Meanwell), and Irsay Institute (Pescosolido), Indiana University-Bloomington, Bloomington; Department of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis (Blackburn).
这项研究通过采访具有实践经验和服务提供者的个人来确定行为健康危机护理 (BHCC) 的以患者为中心的结果 (PCO). 开发的框架为未来的BHCC质量评估和研究提供了基础.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
- 提高质量 提高质量
背景情况:
- 联邦政府的投资正在改变全国的行为健康危机护理 (BHCC) 系统.
- 越来越需要数据和定义的结果来评估BHCC的质量和有效性.
- 确定以患者为中心的结果 (PCO) 对于评估系统性能至关重要.
研究的目的:
- 为行为健康危机护理 (BHCC) 确定以患者为中心的结果 (PCO).
- 收集来自有实践经验的个人和BHCC服务提供商的观点.
- 开发一个评估BHCC质量的框架.
主要方法:
- 与120个利益相关者进行了定性访谈,包括具有实践经验的同行,直接服务提供商,项目经理和高管.
- 采用开放式编码方法来分析采访成绩单,并确定新出现的主题.
- 主题被映射到Donabedian的结构-流程-结果模型,以开发一个PCO框架.
主要成果:
- 确定了45个与BHCC相关的主题.
- 主题被分为五个领域:系统结构,系统实施,系统使用,社会结果和健康结果.
- 开发了一个PCO框架来评估BHCC.
结论:
- 开发的框架是BHCC.患者为中心的结果研究的起点.
- 需要进一步与患者和提供者接触,以开发特定的测量工具.
- 这一框架可以指导改善BHCC服务质量和有效性的努力.
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