简短的用户控制入院 (BUCA) 在精神病治疗中
Sofie Westling1,2, Josefin Vikström Eckevall1,3, Rose-Marie Lindkvist1
1Psychiatry, Department of Clinical Sciences Malmö, Lund University, Lund, Sweden.
概括
简短的用户控制入院 (BUCA) 授权严重精神困扰的个人通过事先协商的协议来自我管理危机护理. 这种以用户为主导的方法提高了满意度和日常运作,与心理健康改革重点保持一致.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 精神病学危机干预干预精神病学危机干预
- 医疗保健政策 医疗保健政策
背景情况:
- 在心理健康危机护理中,传统的医生守门工作可能是限制性的.
- 严重的精神困扰需要创新的,以患者为中心的干预措施.
- 用户主导的模型与当前的心理健康改革保持一致,强调自治.
研究的目的:
- 评估危机干预的简要用户控制入口 (BUCA) 模型.
- 探索用户,员工和家庭在BUCA.的体验.
- 评估BUCA对功能和医疗保健利用的影响.
主要方法:
- BUCA涉及预先协商的协议,允许用户自主发起短期住院护理.
- 研究包括了经历严重精神困扰的成人和青少年.
- 评估结果包括用户满意度,功能和医疗保健成本.
主要成果:
- 用户报告高满意度,心理安全和尊严.
- 工作人员经历了加强的治疗联盟和协作角色.
- BUCA与增加日常功能和潜在的较低医疗保健费用有关.
- 有控制的研究没有证明住院治疗时间的显著减少.
结论:
- BUCA代表了向用户主导的心理健康护理的重大转变.
- 该模型增强了用户体验和日常运作.
- BUCA提供了一个可扩展的,潜在的成本效益高的危机干预策略.
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