提供者对拥有电子健康记录的退伍军人护理的看法 标志着高自杀风险:一项混合方法研究
Jessica A Chen1, Andrew R Devendorf1, Alta du Pont2
1Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care.
Psychological services
|October 6, 2025
概括
退伍军人卫生管理局 (VHA) 的自杀高风险患者记录标志 (HRS-PRF) 有助于识别有风险的退伍军人. 然而,一些提供者指出了行政负担和对治疗关系的潜在负面影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康 心理健康
- 临床信息学 临床信息学
背景情况:
- 电子健康记录 (EHR) 标志在退伍军人卫生管理局 (VHA) 中用于识别高自杀风险患者 (HRS-PRF).
- 对于供应商对HRS-PRF的看法,尽管它们于2008年实施,但对它们的理解有限.
- 外部EHR警报有时会面临负面的提供者接待.
研究的目的:
- 检查VHA心理健康临床医生和自杀预防协调员 (SPC) 关于HRS-PRF的实用性和缺点的观点.
- 为了确定SPC和心理健康临床医生之间对HRS-PRF的看法的潜在差异.
主要方法:
- 进行了一项混合方法质量改进研究.
- 在286个SPC进行全国调查 (2022年2月至3月).
- 与5名SPC和20名心理健康临床医生进行半结构化的定性访谈 (2022年1月至7月).
主要成果:
- 提供者普遍对HRS-PRF表示满意,认为他们能够识别处于危险的退伍军人,并协助护理参与.
- 在SPC和临床医生之间出现了关于负面感知的差异.
- 调查数据显示,20%的SPC对提供护理接触的行政负担感到不满;采访显示,临床医生担心治疗关系和耻辱感.
结论:
- 人们认为HRS-PRF对识别处于危险状态的退伍军人和促进护理参与是有益的.
- 行政负担和对治疗关系的潜在负面影响需要进一步关注.
- 需要进行额外的研究来评估退伍军人的经验和临床有效性结果.
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