查,简短干预和转诊治疗中的护理协调 (SBIRT):一个范围审查
Yael Hadani1, Idil Tarikogullari1, Tyler S Oesterle1
1Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
The American journal on addictions
|November 23, 2025
概括
护理协调加强了对初级保健中物质使用的查,简短干预和转诊治疗 (SBIRT). 本综述综合了模型,显示了改善的患者参与和治疗启动.
科学领域:
- 医疗保健提供 医疗保健提供
- 药物使用治疗 药物使用治疗
- 实施科学 实施科学
背景情况:
- 在初级保健中,查,简短干预和转诊治疗 (SBIRT) 的实施面临挑战.
- 护理协调 (CC) 可以通过支持干预和加强患者随访来提高SBIRT的有效性.
- 现有的CC模型及其对SBIRT的结果各不相同,缺乏全面的综合.
研究的目的:
- 进行与SBIRT集成的护理协调 (CC) 模型的首次范围审查.
- 综合CC对SBIRT实施和患者水平结果的影响.
- 在SBIRT中识别CC集成的促进者和障碍者.
主要方法:
- 在10个数据库中进行了全面的文献搜索.
- 包括描述门诊SBIRT模型的研究,包括任何年龄组的CC.
- 提取了实施和患者一级的结果,以表征CC模型及其影响.
主要成果:
- 15项研究符合纳入标准,涵盖了各种门诊环境和年龄组.
- CC模型包括嵌入式提供商,集中管理人员和远程协调员.
- CC与查,干预交付,转诊启动和治疗参与度的增加有关.
结论:
- 护理协调似乎有助于SBIRT的实施和患者在门诊机构的参与.
- 嵌入式CC提供了关系优势;远程/数字CC显示了可扩展性的潜力.
- 需要进一步的比较研究来评估CC的有效性,成本和SBIRT的上下文适应性.
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