探索澳大利亚私人精神病医生中远程精神病学实践的规范化:一个融合混合方法研究
Luke Sy-Cherng Woon1,2, Paul A Maguire1,3, Jeffrey C L Looi1,3
1Academic Unit of Psychiatry & Addiction Medicine, The Australian National University School of Medicine and Psychology, Canberra, Australia.
International journal of telemedicine and applications
|January 1, 2026
概括
在适当的支持下,将远程精神病学纳入私人诊所是可行的. 诸如感知到与常规工作相似之处和支持性环境等因素可以提高澳大利亚精神病学家的采用率.
科学领域:
- 心理健康 心理健康
- 数字健康数字健康
- 精神病学是一个精神病学.
背景情况:
- 远程精神病学的使用正在增加,需要对其常规整合进行研究.
- 了解精神病医生如何在私人实践中采用远程精神病学对于优化其实施至关重要.
研究的目的:
- 测量和探索澳大利亚私人精神病学实践中远程精神病学的正常化.
- 确定影响远程精神病学成功融入常规实践的因素.
主要方法:
- 一个融合的并行混合方法研究,涉及在线调查 (n=110) 和与私人精神病医生的半结构面试 (n=13).
- 使用了规范化过程理论 (NPT) 和其规范化措施开发 (NoMAD) 工具.
- 采用后勤回归和主题分析来整合定量和定性数据.
主要成果:
- 更高的认知参与和集体行动与增加的远程精神病学使用 (>50%的患者负载) 有关.
- 个人实践和非大都市地区的实践显示了更高的远程精神病学采用率.
- 精神病医生认为远程精神病学是相当的,可访问的,灵活的,高效的,具有有利的环境,促进采用.
结论:
- 远程精神病学是私人精神病学实践的一个有价值的工具.
- 成功的整合需要适当的支持,包括资源,政策框架和接受.
- 诸如与传统商和量身定制倡议的相似性等因素是有效实施的关键.
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