影响儿科初级保健提供者解决行为健康需求的能力的因素
Juliet Yonek1, Jessica Lutz2, Ruth Chincanchan3
1Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco.
Psychiatric services (Washington, D.C.)
|December 3, 2025
概括
儿科医生可以通过儿童精神病学准入计划 (CPAP) 的支持更好地管理行为健康问题. 通过为复杂病例提供至关重要的精神病学咨询和教育,CPAP增强了初级保健.
科学领域:
- 儿童和青少年精神病学
- 主要护理 儿科 儿科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿科初级保健提供者 (PPCPs) 经常面临管理行为健康问题的挑战.
- 儿童精神病学准入计划 (CPAP) 提供必要的精神病学咨询,教育和指导支持,以初级保健设置.
研究的目的:
- 确定影响PPCP管理行为健康问题的感知能力的因素.
- 评估这些因素对PPCP利用CPAP的精神病咨询服务的影响.
主要方法:
- 探索性,顺序性的混合方法研究,涉及重点小组,包括来自11个儿科实践的52名PPCP.
- 对188次精神病学咨询 (2022年3月至2024年4月) 的分析,以目的,患者人口统计,临床特征和处置为准.
- 后勤回归用于检查与患者处置相关的因素 (初级保健管理与专科转诊).
主要成果:
- PPCP报告说,他们对管理常见疾病 (ADHD,抑郁症,焦虑症) 的信心更高,但对复杂病例或自杀念头的信心更低.
- 70%的咨询集中在心理药物管理上.
- 72%的咨询结果导致了对初级保健管理的倾向,积极与ADHD,抑郁症或焦虑症诊断和较年轻的患者年龄相关,但与临床风险因素负面相关.
结论:
- 通过CPAP进行精神病学咨询可能会提高PPCP在初级保健机构内管理行为健康状况的能力.
- 在初级保健中,CPAP支持可能有助于适当处理和持续管理儿科行为健康问题.
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