Implementation and Use of a Client-Facing Web-Based Shared Decision-Making System (MyCHOIS-CommonGround) in Two Specialty Mental Health Clinics.
Implementation and Use of a Client-Facing Web-Based Shared Decision-Making System (MyCHOIS-CommonGround) in Two Specialty Mental Health Clinics.
复制标题
DOI：
10.1007/s10597-018-0341-x
复制
发表时间：
2019-05
影响因子：
2.7
通讯作者：
Hoagwood K
中科院分区：
文献类型：
--
作者：
Finnerty M;Austin E;Chen Q;Layman D;Kealey E;Ng-Mak D;Rajagopalan K;Hoagwood K
电子共享决策程序可以提供一种辅助技术来支持医患沟通。这项混合方法研究检查了接受专业心理健康服务的个人使用基于网络的共享决策程序（MyCHOIS-CommonGround），并确定了在两个医疗补助心理健康诊所实施的前18个月内影响采用的定性因素。进行T检验和χ2分析，以评估研究中心之间患者使用的差异。两个诊所中约80%的患者创建了MyCHOIS-CommonGround用户档案，但在完成共享决策报告的患者（79% vs. 28%，χ2（1）= 109.92，p < .01）和平均报告数量（7.20 vs. 3.60，t =-3.64，p < .01）方面，诊所之间存在显著差异。结果表明，基于计算机的程序在专业精神卫生服务的高渗透率是可能的，但临床实施因素可以影响患者的使用，包括领导的承诺，同行的工作人员的资金，以支持该计划，和实施策略，最显着的集成程序在常规的临床工作流程。
Electronic shared-decision making programs may provide an assistive technology to support physician–patient communication. This mixed methods study examined use of a web-based shared decision-making program (MyCHOIS-CommonGround) by individuals receiving specialty mental health services, and identified qualitative factors influencing adoption during the first 18 months of implementation in two Medicaid mental health clinics. T-tests and χ2 analyses were conducted to assess differences in patient use between sites. Approximately 80% of patients in both clinics created a MyCHOIS-CommonGround user profile, but marked differences emerged between clinics in patients completing shared decision-making reports (79% vs. 28%, χ2(1) = 109.92, p < .01) and average number of reports (7.20 vs. 3.60, t = − 3.64, p < .01). Results suggest high penetration of computer-based programs in specialty mental health services is possible, but clinic implementation factors can influence patient use including leadership commitment, peer staff funding to support the program, and implementation strategy, most notably integration of the program within routine clinical workflow.
登录
查看更多内容
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
3.8
作者：
Chinman, Matthew;Lucksted, Alicia;Martone, Lisa
通讯作者：
Martone, Lisa
DOI：
10.1007/s10488-012-0424-x
发表时间：
2013-07
影响因子：
2.6
作者：
Ben-Zeev, Dror;Davis, Kristin E.;Kaiser, Susan;Krzsos, Izabela;Drake, Robert E.
通讯作者：
Drake, Robert E.
影响因子：
3.2
作者：
Couet, Nicolas;Desroches, Sophie;Legare, France
通讯作者：
Legare, France
影响因子：
3.8
作者：
Deegan, Patricia E.;Rapp, Charles;Riefer, Melody
通讯作者：
Riefer, Melody