战争期间乌克兰精神卫生系统中的桥梁因素:对利益相关方观点的定性研究
Alyona Mazhnaya1, Anna Meteliuk2, Sergiy Bogdanov3
1School of Public Health, National University of Kyiv-Mohyla Academy, 10 Voloska Street, Building 6, Rooms 104-109, Kiev, 02000, Ukraine. a.mazhnaia@ukma.edu.ua.
Implementation science communications
|December 8, 2025
概括
协调和合作等桥梁因素对乌克兰至关重要.
科学领域:
- 公共卫生 公共卫生
- 心理健康系统 心理健康系统
- 冲突与健康 冲突与健康
背景情况:
- 2022年2月俄罗斯全面入侵乌克兰,加剧了心理健康需求.
- 这次入侵同时破坏了现有的心理健康服务系统.
- 这项研究调查了乌克兰精神卫生系统在这种紧急情况下的桥梁因素.
研究的目的:
- 检查将乌克兰心理健康系统的外部系统和内部组织背景连接起来的桥梁因素.
- 了解这些因素是如何在紧急情况下促进或阻碍心理健康服务的.
主要方法:
- 与乌克兰各地的18名心理健康利益相关者进行了半结构化采访 (2023年3月至10月).
- 使用了演和归纳的定性分析方法.
- 根据已建立的类型识别和分类桥梁因素.
主要成果:
- 确定的桥梁因素包括协调结构,监管/融资框架,信息交换,推网络,知识转移,合作以及个人边界跨越者.
- 利益相关者认为这些因素在促进资源流动和服务提供方面具有不同的有效性和可持续性.
- 虽然一些因素是有计划的,但其他因素,如推系统是不发达的;作为边界开关者的个人发挥了关键作用.
结论:
- 桥梁因素是必要的适应机制,连接分散的系统组件并支持应急响应.
- 这些因素促进了向以证据为基础,以社区为导向的心理健康系统的转变.
- 桥梁机制的战略发展,特别是关系网络和地方协调,可以在有限的资源下加强系统集成.
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