在加拿大初级保健中为虚拟提供心理健康服务制定标准:一项定性研究和修改后的Delphi过程
Abban Yusuf1, Ginetta Salvalaggio2, Osnat Melamed3,4
1MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
这项研究制定了13个关键标准,用于加拿大的虚拟初级心理健康护理. 这些指南旨在改善远程提供心理健康服务的可访问性,公平性和安全性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
- 数字健康数字健康
背景情况:
- COVID-19大流行加速了加拿大的虚拟初级保健采用.
- 在初级保健机构中对虚拟心理健康服务的需求增加.
- 需要为虚拟心理健康护理提供标准化指南.
研究的目的:
- 制定基于证据的标准,用于加拿大初级保健中虚拟提供心理健康服务.
- 将从快速审查和利益相关者的反中获得的见解纳入.
- 确保虚拟心理健康护理的质量,可访问性和公平性.
主要方法:
- 对现有的虚拟初级精神卫生保健指南进行了快速审查.
- 通过采访和重点小组,从医疗保健工作者和有实践经验的个人那里收集了定性反.
- 利用经过修改的Delphi流程与专家咨询小组共同改进和最终确定标准.
主要成果:
- 确定了三个关键主题:患者-提供者期望,可访问性和公平性以及安全规划.
- 起草了18项标准,其中13项最终在专家审查后被列入最终清单.
- 最终标准强调护理和患者资源的连续性,以促进健康公平.
结论:
- 开发的标准为组织和提供初级保健中虚拟心理健康服务提供了关键指导.
- 这些标准适用于加拿大和国际环境,特别是在单一支付医疗系统中.
- 专注于连续性,公平性和患者信息对于有效的虚拟心理健康护理至关重要.
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