通过使用来自现实世界实践环境的数据,检查"更好的访问"倡议的有效性
Jane Pirkis1, Ben Buchannan2, Philip Burgess3,4
1Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
The Australian and New Zealand journal of psychiatry
|March 4, 2026
概括
"更好的获取"倡议改善了大多数消费者的心理健康状况,但很大一部分消费者并没有获得积极的结果. 建议进行例行结果测量,以进行持续的监测和改进.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 卫生政策评估 卫生政策评估
- 临床心理学 临床心理学
背景情况:
- "更好的获取"倡议是澳大利亚政府的一个关键计划,提供对心理健康护理的补贴.
- 在评估如此大规模的公共卫生计划时,现实世界的有效性数据至关重要.
研究的目的:
- 通过使用现实世界结果数据,评估"更好的访问"倡议的有效性.
- 确定心理健康状况有所改善,没有变化或恶化的消费者比例.
主要方法:
- 分析了来自四个数据集的86,121个护理事件的匿名数据.
- 使用了11种不同的结果指标,主要是消费者评级.
- 专门设计的分析和对先前存在的输出进行审查,以评估心理健康得分的变化.
主要成果:
- 在50-60%的发作中,心理健康得到改善.
- 分别在20-30%和10-20%的发作中没有发生变化或恶化.
- 具有更严重基线分数的消费者显示改善的可能性更高.
结论:
- "更好的访问"倡议成功地改善了大多数消费者的结果.
- 少数消费者没有受益,需要进一步调查.
- 常规的消费者评级结果测量对于监测计划目标至关重要.
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