"他们真的以我们可以理解的方式解释事情":一项定性研究检查了儿童协作护理信任的促进者
Julia George-Jones1, Lauren Gulbas2, Celia Neavel3
1Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, University of Pennsylvania.
The American journal of orthopsychiatry
|November 6, 2025
概括
建立对儿科精神病学护理的信任,需要与初级保健提供者建立牢固的关系和尊重. 改善西班牙语口译服务和量身定制的方法是提高贫困家庭心理健康准入的关键.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 医疗保健服务研究 医疗服务研究
- 社区参与的研究
背景情况:
- 联邦合格卫生中心 (FQHC) 提供综合护理,但在协作模式中仍然存在信任障碍.
- 拉丁裔家庭,通常收入低,面临着独特的挑战,获得儿科精神卫生服务.
- 社区参与的研究对于理解综合护理环境中的患者体验至关重要.
研究的目的:
- 识别促进者和障碍者信任一个协作儿科精神病学咨询模型.
- 探索家长和患者对医疗家庭环境中的信任的看法.
- 为改善服务不足的年轻人获得心理健康服务的战略提供信息.
主要方法:
- 社区参与的定性研究涉及与家长和患者 (9-17岁) 的采访.
- 用跨学科会议模型对14名家长和6名患者的经验进行主题分析.
- 专注于对协作护理过程,提供者和咨询精神科医生的信任.
主要成果:
- 信任的促进者包括初级保健提供者,建立关系,相互尊重,以及精神病学家的教育方法.
- 发现的障碍是缺乏优质的西班牙语口译服务,以及针对不同诊断的非定制方法.
- 父母和孩子的同步和乐观也影响了对精神病咨询模式的参与.
结论:
- 有效地实施社区参与的研究可以为协作精神病治疗的可接受性提供见解.
- 解决口译需求和量身定制护理对于建立对儿科精神卫生服务的信任至关重要.
- 研究结果可以提高医疗机构内缺乏资源的人口的心理健康准入.
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