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评估澳大利亚的更好的访问倡议:概述
Jane Pirkis1, Meredith Harris2,3, Cathrine Mihalopoulos4
1Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
"更好的获取"倡议改善了许多人的心理健康,但获取不平等仍然存在. 这些建议涉及服务提供,劳动力和护理协调,以加强心理健康护理的获取和公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康政策 心理健康政策
- 项目评估 项目评估
背景情况:
- "更好的获取"倡议旨在通过医疗保险改善对心理健康专业人员的获取.
- 之前的评估表明,关于计划的有效性和可访问性,结果各不相同.
- 进行了全面的混合方法评估,以评估该倡议的影响,并确定需要改进的领域.
研究的目的:
- 提供"更好的访问"倡议混合方法评估的概述.
- 总结有关计划有效性,患者结果和获取不平等的关键发现.
- 提出提议,以加强更好的访问计划,并报告政府的反应.
主要方法:
- 混合方法评估结合了定量和定性数据.
- 分析计划利用情况,患者报告的结果和利益相关者的反.
- 审查政府对评估建议的回应.
主要成果:
- 许多使用Better Access的参与者报告了症状,功能和生活质量的改善.
- 在获取"更好获取"计划方面发现了重大不平等现象.
- 制定了16项建议,重点关注服务提供,劳动力,疗法,转诊,协作,负担能力和评估.
结论:
- 虽然更好的获取提供了好处,但系统性不平等阻碍了获得最佳心理健康护理的机会.
- 实施拟议的建议对于提高计划的公平性和有效性至关重要.
- 政府对建议的回应表明了未来计划改进的途径.
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