综合初级保健和心理健康服务利用:一个元分析
Cody A Hostutler1,2, Jeffrey D Shahidullah3, Tiffany M Rybak4,5
1Department of Pediatric Psychology and Neuropsychology, Nationwide Children's Hospital, Columbus, Ohio.
Pediatrics
|July 14, 2025
概括
综合初级保健 (IPC) 显著提高了心理健康服务的使用率. 这一元分析表明,与常规护理相比,IPC模型增加了接受干预的几率.
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
- 整合初级保健的整合.
背景情况:
- 综合初级保健 (IPC) 模型的理论是通过改善获得心理健康干预措施来提高患者的治疗结果.
- 目前的研究评估了IPC对使用心理健康服务的影响.
研究的目的:
- 对综合初级保健模式对心理健康服务利用的影响进行元分析评估.
- 为了比较IPC环境中的心理健康服务使用与通常或增强的通常初级保健.
主要方法:
- 在多个数据库 (Medline,EMBASE,CENTRAL,PsycINFO,SCOPUS) 进行了系统的文献搜索,搜索1998年1月1日至2024年12月15日期间发表的研究.
- 满足纳入标准的12项随机和非随机试验 (每组≥10名参与者) 被纳入多层次元分析中.
- 数据提取和选由两名独立审查员进行,以确定接受心理健康治疗的几率比率 (OR).
主要成果:
- 综合初级保健显著增加了接受任何心理健康干预的几率 (OR,12.23;95% CI,3.64-41.07).
- IPC模型还显示,接受最低剂量 (OR,10.92;95% CI,3.28-36.32) 和完整干预过程 (OR,19.17;95% CI,3.02-121.53) 的几率更高.
结论:
- 综合初级保健模式显示,对心理健康服务的覆盖和利用产生了显著的积极影响.
- 限制包括研究间的异质性和需要进一步研究以确定特定的IPC模型组件,从而增加服务访问和使用.
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