Exploring Provider Perspectives on Implementing Coordinated Specialty Care: A Qualitative Study.

Exploring Provider Perspectives on Implementing Coordinated Specialty Care: A Qualitative Study.
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探索提供者对实施协调专业护理的看法:一项定性研究。

DOI:
10.1007/s10597-022-00939-5
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发表时间:
2022-10
影响因子:
2.7
通讯作者:
Oluwoye O
Oluwoye O
中科院分区:
医学4区
文献类型:
--
作者:
Stokes B;Fraser E;Kriegel L;Oluwoye O

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本研究旨在探讨临床医生的角色和经验的实施和可持续性的协调专业护理(CSC)计划的首发精神病。定性访谈进行了20 CSC供应商和团队成员,从五个CSC计划招募。使用半结构化的指南,访谈探讨了社区门诊精神卫生机构提供CSC的经验和实施的挑战。访谈录音,转录,并使用主题分析进行分析。主题被解析成两个总体类别,供应商,和组织层面的因素,并进一步提炼成相互作用的子主题,形成一个互动的网络的障碍,成功的方案实施CSC计划。研究结果有重要的影响,为未来的政策发展提供资金的精神卫生机构,创建额外的材料,支持的模式,并雇用和保留工作人员为未来实施CSC计划。
This study aimed to explore clinician roles and experiences related to the implementation and sustainability of coordinated specialty care (CSC) programs for first episode psychosis. Qualitative interviews were conducted with 20 CSC providers and team members, recruited from five CSC programs. Using a semi-structured guide, interviews explored experiences with the delivery of CSC in the context of community-based outpatient mental health agencies and the challenges with implementation. Interviews were audio recorded, transcribed, and analyzed using thematic analysis. Themes were parsed into two overarching categories, provider, and organizational-level factors, and further distilled into subthemes which interacted with one another to form an interacting web of barriers to successful programmatic implementation for CSC programs. Study findings have important implications for development of future policy for financing mental health agencies, the creation of additional materials, supports for the model, and hiring and retention of staff for future implemented CSC programs.
DOI: 10.1192/bjp.182.2.123
发表时间: 2003-02-01
影响因子: 10.5
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