Blasinsky Margaret, Goldman Howard H, Unützer Jürgen
CSR Incorporated, Arlington, VA 22201, USA.
Adm Policy Ment Health. 2006 Nov;33(6):718-29. doi: 10.1007/s10488-006-0086-7.
Project IMPACT is a collaborative care intervention to assist older adults suffering from major depressive disorder or dysthymia. Qualitative research methods were used to determine the barriers and facilitators to sustaining IMPACT in a primary care setting. Strong evidence supports the program's sustainability, but considerable variation exists in continuation strategies and operationalization across sites. Sustainability depended on the organizations' support of collaborative care models, the availability of staff trained in the intervention, and funding. The intervention's success was the most important sustainability factor, as documented by outcome data and through the "real world" experience of treating patients with this intervention.
“影响项目”是一项协作式护理干预措施，旨在帮助患有重度抑郁症或心境恶劣障碍的老年人。采用定性研究方法来确定在初级保健环境中维持“影响项目”的障碍和促进因素。有力证据支持该项目的可持续性，但各地点在延续策略和实施方面存在相当大的差异。可持续性取决于各组织对协作式护理模式的支持、接受该干预措施培训的工作人员的可用性以及资金。干预措施的成功是最重要的可持续性因素，结果数据以及通过使用该干预措施治疗患者的“现实世界”经验都证明了这一点。
