COVID-19对精神卫生信托机构的影响。

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES
Russell Mannion, Frederick H Konteh, Rowena Jacobs
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引用次数: 5

摘要

目的:探讨英格兰精神卫生信托机构如何适应和应对2019冠状病毒病大流行带来的挑战,以确定在大流行期间和之后可以吸取的教训。方法:根据范围研究,我们对四个案例研究地点的高级管理人员、临床医生、患者代表和委托人员进行了52次半结构化访谈。这些站点在规模、位置和由国家监管机构授予的等级上各不相同。我们探讨了如何调整和重组服务以应对大流行,以及与会者对这些变化对护理质量和工作人员福祉的影响的看法。结果:精神卫生信托在快速实施新的护理模式和快速开发创造性数字解决方案方面显示出极大的灵活性和弹性。共同的紧迫感刺激了新的合作安排,更多的资金和更宽松的政策环境使之成为可能。但这也对员工的福利产生了重大的负面影响,尤其是那些来自少数族裔背景的员工。此外,有人担心,数字技术可能会有效地剥夺一些弱势群体的权利,加剧现有的保健不平等。结论:疫情期间开展的许多服务变革和数字创新似乎大有希望。然而,需要紧急和严格地评价这些变化,以确保其有效性,并评估其对社会排斥和保健不平等的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of COVID-19 in mental health trusts.

Objective: To explore how mental health trusts in England adapted and responded to the challenges posed by the COVID-19 pandemic, with the aim of identifying lessons that can be learned during and beyond the pandemic.

Methods: Following a scoping study, we undertook 52 semi-structured interviews with senior managers, clinicians, patient representatives and commissioning staff across four case study sites. These sites varied in size, location and grading awarded by a national regulatory body. We explored how services have been repurposed and reorganized in response to the pandemic and the participants' perceptions of the impact of these changes on quality of care and the wellbeing of staff.

Results: Mental health trusts have shown great flexibility and resilience in rapidly implementing new models of care and developing creative digital solutions at speed. New collaborative arrangements have been stimulated by a shared sense of urgency and enabled by additional funding and a more permissive policy environment. But there has also been a significant negative impact on the wellbeing of staff, particularly those staff from a minority ethnic background. Also, there were concerns that digital technology could effectively disenfranchise some vulnerable groups and exacerbate existing health inequalities.

Conclusions: Many of the service changes and digital innovations undertaken during the pandemic appear promising. Nevertheless, those changes need to be urgently and rigorously appraised to assure their effectiveness and to assess their impact on social exclusion and health inequalities.

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来源期刊
CiteScore
4.40
自引率
4.20%
发文量
39
期刊介绍: Journal of Health Services Research & Policy provides a unique opportunity to explore the ideas, policies and decisions shaping health services throughout the world. Edited and peer-reviewed by experts in the field and with a high academic standard and multidisciplinary approach, readers will gain a greater understanding of the current issues in healthcare policy and research. The journal"s strong international editorial advisory board also ensures that readers obtain a truly global and insightful perspective.
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