The Perfect Storm: Collision of the Business of Mental Health and the Implementation of Evidence-Based Practices
The Perfect Storm: Collision of the Business of Mental Health and the Implementation of Evidence-Based Practices
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DOI：
10.1176/appi.ps.201500392
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发表时间：
2016-02-01
影响因子：
3.8
通讯作者：
Beidas, Rinad S.
中科院分区：
文献类型：
--
作者：
Stewart, Rebecca E.;Adams, Danielle R.;Beidas, Rinad S.
融资已被假设为实施循证实践（EBP）的一个重要驱动力，但很少有系统的调查融资作为EBP实施的一个因素。本专栏介绍了一项定性研究的结果，该研究探讨了财政因素对一个大型城市公共资助的精神卫生系统实施EBP的影响。对33名机构领导和16名政策制定者的采访发现，社区精神卫生机构面临财务困境，导致人们对实施EBP的复杂性和昂贵性表示担忧。利益有关者同意，执行企业预算方案的费用应由各机构和联合国系统分担;但是，利益有关者对如何为企业预算方案供资没有达成一致意见。
Financing has been hypothesized to be an important driver of the implementation of evidence-based practices (EBPs), yet there has been little systematic investigation of financing as a factor in EBP implementation. This column presents findings from a qualitative study of the effects of financial factors on the implementation of EBPs in a large urban publicly funded mental health system. Interviews with 33 agency leaders and 16 policy makers identified financial distress in community mental health agencies, leading to concerns about complex and expensive implementation of EBPs. Stakeholders agreed that the cost of EBP implementation should be shared between the agencies and the system; however, the stakeholders did not agree on how EBPs should be financed.