为什么我们需要有效的撤销策略来降低无效和潜在有害疗法的成本?
Philipp Herzog1, Carmen P McLean2
1RPTU University Kaiserslautern-Landau, Department of Psychology.
Journal of consulting and clinical psychology
|October 23, 2025
概括
解除实施科学对于消除无效的心理健康治疗至关重要. 优先考虑解除实施可以节省资源并改善公共卫生影响,类似于采用基于证据的做法.
科学领域:
- 心理健康护理 心理健康护理
- 实施科学 实施科学
- 公共卫生 公共卫生
背景情况:
- 在心理健康护理中,没有支持,无效和有害的疗法仍然存在.
- 原因包括提供者,系统和公共因素,这些因素有助于使用伪科学治疗.
- 过去的基于证据的实践实施策略,如创伤后应激障碍,有局限性.
研究的目的:
- 通过制定撤销实施策略来解决科学与实践之间的差距.
- 系统地从常规临床护理中删除非基于证据的做法.
- 为低价值和不合适的护理提出一个撤销框架.
主要方法:
- 审查使用未经支持的治疗方法的原因.
- 检查传统实施策略的局限性.
- 提出一个撤销实施框架.
主要成果:
- 取消实施的努力显示了减少创伤后应激障碍药物过度处方的好处.
- 对于不实施心理治疗的证据较少.
- 提出一个框架来消除低价值护理的实施.
结论:
- 废除实施科学对于补充实施科学至关重要.
- 优先考虑解除实施可以带来显著的公共卫生益处.
- 消除无效和有害的治疗方法可以防止资源浪费,提高健康结果.
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