推进远程医疗和任务共享,以改善围产期人口获得心理治疗的机会
Nicole Andrejek1, Zoë Lea1,2, Abigail Cussons3
1Institute for Mental Health Policy Research and Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Communications medicine
|September 30, 2025
概括
远程医疗和任务共享改善了围产期患者获得心理治疗的机会,提供了方便和可访问性. 这些方法是对现实世界医疗保健环境的有效,可行和以患者为中心的解决方案.
科学领域:
- 围产期精神健康护理研究
- 实施科学 实施科学
- 心理治疗的交付模式.
背景情况:
- 在SUMMIT试验中,研究了远程医疗和任务共享,以提高围产期人口获得心理治疗的机会.
- 研究结果表明,远程医疗和非专家提供的心理治疗与面对面或专家护理相比,没有劣势.
- 这项研究旨在评估任务共享和远程医疗的实践应用.
研究的目的:
- 评估围产心理治疗的任务共享和远程医疗障碍和促进者的障碍.
- 在各种医疗保健机构向围产期患者提供心理治疗的最佳实践.
主要方法:
- 采用了多方利益相关者的观点,采访了105名参与者 (70名产前患者,35名提供者).
- 在采访中的定性数据上进行了感应性主题分析.
- 研究了远程医疗,任务共享和面对面心理治疗的障碍和促进因素.
主要成果:
- 远程医疗在各利益关方群体中表现出许多促进因素,包括方便性,灵活性和可访问性,特别是在缓解儿童护理需求方面.
- 虽然面对面的治疗有一些好处,但与促进者相比,发现了更多的障碍.
- 任务共享在非专家和专家提供者之间显示了可比的促进因素,例如积极倾听和同理心.
结论:
- 远程医疗和任务共享是改善获得基于证据的心理治疗的可接受和可行的解决方案.
- 这些方法以患者为中心,适合在各种医疗机构实施.
- 这些发现支持将远程医疗和任务共享整合起来,以加强围产期心理健康护理.
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