Измерение и улучшение качества оказания помощи в области психического здоровья: глобальная перспектива
Всемирная психиатрия. №1 2018
Измерение и улучшение качества оказания помощи в области психического здоровья: глобальная перспектива
Amy M. Kilbourne1,2, Kathryn Beck2, Brigitta Spaeth-Rublee3, Parashar Ramanuj4,5, Robert W. O’Brien1, Naomi Tomoyasu1, Harold Alan Pincus6
1Health Services Research and Development Service, Veterans Health Administration, US Department of Veterans Affairs, Washington, DC, USA; 2Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA; 3Department of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York, NY, USA; 4RAND Europe, Cambridge, UK; 5Royal National Orthopaedic Hospital, Stanmore, UK; 6Department of Psychiatry and Irving Institute for Clinical and Translational Research, Columbia University and New York-Presbyterian Hospital, New York, NY, USA
Стр. 30-38
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Опубликовано: 19 июня 2018
Аннотация / Abstract
a:2:{s:4:"TEXT";s:65531:"a:2:{s:4:"TYPE";s:4:"HTML";s:4:"TEXT";s:69025:"Перевод: Мурашко А.А. (Москва), Шишкина О.А. (Москва)
Редактура: к.м.н. Федотов И.А. (Рязань)
Психические расстройства по всему миру схожи, однако качество медицинской помощи в области этих расстройств не улучшается, так же как не улучшается и качество оказания медицинской помощи при соматических заболеваниях. В данном исследовании мы показали условия продвижения количественных измерений как инструмента улучшения качества помощи в области психических расстройств. Мы выделили ключевые барьеры, включая недостаток стандартизированной информации по данным ресурсам, основанным на информационных технологиях, ограниченность научной доказательности для измерения качества оказания психиатрической помощи, недостаток доступности образования и поддержки, а также культуральные барьеры при интеграции психиатрической помощи в общемедицинскую сеть. Мы описываем несколько инноваций, которые внедряются по всему миру и могут уменьшить эти барьеры. Основываясь на этом опыте, мы предлагаем несколько рекомендаций для улучшения качества психиатрической помощи. Для получателей и организаторов в области психического здоровья важно иметь портфолио, включающее валидизированные методы измерения исходов в пределах спектров различных состояний. Необходимо внедрить в существующую электронную базу элементы общих данных. Исходы психических расстройств требуют регулярной оценки, и именно помощь, основанная на измерении, должна стать частью всей культуры и системы оказания медицинской помощи. Система оказания медицинской помощи требует валидизированного способа качественных измерений для выявления наиболее уязвимых групп населения, требующих медицинской помощи и анализа недочетов. Еще больше внимания должно быть уделено обучению сотрудников в направлении увеличения объема и качества медицинской помощи. Область улучшения качества психиатрической помощи является командным делом, требующим координации между различными сфер...
Перевод: Мурашко А.А. (Москва), Шишкина О.А. (Москва)
Редактура: к.м.н. Федотов И.А. (Рязань)
Психические расстройства по всему миру схожи, однако качество медицинской помощи в области этих расстройств не улучшается, так же как не улучшается и качество оказания медицинской помощи при соматических заболеваниях. В данном исследовании мы показали условия продвижения количественных измерений как инструмента улучшения качества помощи в области психических расстройств. Мы выделили ключевые барьеры, включая недостаток стандартизированной информации по данным ресурсам, основанным на информационных технологиях, ограниченность научной доказательности для измерения качества оказания психиатрической помощи, недостаток доступности образования и поддержки, а также культуральные барьеры при интеграции психиатри...
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