利用实施科学作为学习型医疗系统来改善早期精神病的治疗效果。

IF 2.1 4区 医学 Q3 PSYCHIATRY
Bo Kim, Margaret Guyer, Matcheri Keshavan
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引用次数: 0

摘要

目的:人们已经充分认识到早期干预可以改善精神病的治疗效果,但其成功实施仍然有限。本文介绍了推进循证实践实施的三步路线图,将其作为一个学习型医疗系统来运作,该路线图可应用于精神病的早期干预,面向的受众是对系统实施方法相对陌生的人群:该路线图以实施科学为基础,专门研究促进循证创新常规使用的方法。路线图借鉴了学习型医疗系统的原则,这些原则要求领导层做出承诺、应用证据、检查护理经验并研究健康结果。我们讨论了路线图每个步骤的实例,强调了适用于整个路线图的与数据和利益相关者有关的考虑因素:结论:早期精神病护理是一个很有前景的话题,通过它可以讨论将证据转化为实践的关键需求。尽管在早期精神病干预方面取得了重大进展,但这些干预措施对人群的影响仍有待实现。本文介绍了如何在学习型医疗系统中落实实施科学原则,并分享了早期精神病护理的实例,从而促使更多的受众参与到实施科学的重要讨论中来,了解实施科学在将证据转化为其他精神病护理领域的实践方面所能发挥的作用。为此,本文提出的路线图可以作为一个概念性的指导模板和框架,通过它,各种精神病治疗服务机构可以有条不紊地及时实施循证干预措施,从而提高治疗质量,改善治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using implementation science to operate as a learning health system to improve outcomes in early psychosis

Aim

Early interventions are well understood to improve psychosis outcomes, but their successful implementation remains limited. This article introduces a three-step roadmap for advancing the implementation of evidence-based practices to operate as a learning health system, which can be applied to early interventions for psychosis and is intended for an audience that is relatively new to systematic approaches to implementation.

Methods

The roadmap is grounded in implementation science, which specializes in methods to promote routine use of evidence-based innovations. The roadmap draws on learning health system principles that call for commitment of leadership, application of evidence, examination of care experiences, and study of health outcomes. Examples are discussed for each roadmap step, emphasizing both data- and stakeholder-related considerations applicable throughout the roadmap.

Conclusions

Early psychosis care is a promising topic through which to discuss the critical need to move evidence into practice. Despite remarkable advances in early psychosis interventions, population-level impact of those interventions is yet to be realized. By providing an introduction to how implementation science principles can be operationalized in a learning health system and sharing examples from early psychosis care, this article prompts inclusion of a wider audience in essential discourse on the role that implementation science can play for moving evidence into practice for other realms of psychiatric care as well. To this end, the proposed roadmap can serve as a conceptual guiding template and framework through which various psychiatric services can methodically pursue timely implementation of evidence-based interventions for higher quality care and improved outcomes.

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来源期刊
Early Intervention in Psychiatry
Early Intervention in Psychiatry 医学-精神病学
CiteScore
4.80
自引率
5.00%
发文量
112
审稿时长
6-12 weeks
期刊介绍: Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.
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