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农村全科医生获取心理健康服务信息的互联网工具箱。

Internet tool box for rural GPs to access mental health services information.

作者信息

Ollerenshaw Alison

机构信息

Centre for Health Research and Practice, University of Ballarat, Ballarat,Victoria, Australia.

出版信息

Rural Remote Health. 2009 Apr-Jun;9(2):1094. Epub 2009 Jun 19.

Abstract

INTRODUCTION

Rural GPs play a significant role in the mental health care of their patients. It is therefore crucial that they have access to reputable support and advice that enhances their existing knowledge. This article outlines a recent project initiated by the Australian rural Ballarat and District Division of General Practice (BDDGP) to develop and implement an online resource to facilitate local implementation and delivery of the 'Better Access to Mental Health Care' (BAMHC) program. This 12 month project was initiated in response to a request from local GPs for additional information about and support in using the BAMHC program. The project is the culmination of significant collaboration among key stakeholders that includes local GPs, GP advisors from BDDGP, BDDGP staff, and two University of Ballarat research centres (the Centre for Health Research and Practice, and the Centre for Electronic Commerce and Communication). This article documents the key stages involved in the project from initiation to implementation, and reports on the use of this resource 12 months after its launch.

METHOD

The BDDGP represents 107 GPs and six GP registrars and covers a large rural/semi-rural area of 7300 km2 and a catchment population of more than 120,000. The format and design of the project entailed four distinct but interrelated stages of development: (1) developing the program specifications and localising it to the BDDGP catchment; (2) constructing a decision-making support tool with 7 sequential steps comprising key questions and links to detailed answers; (3) developing and populating an online service directory of local allied health professionals; and (4) constructing the website for easy access and navigation for GPs and other service providers.

RESULTS

The website was publicly launched in December 2007 and is hosted by BDDGP. Since then it has received strong support. In the 12 months since its launch the website received regular and continuous visits (2847 visits/11,500 pages accessed). In addition, anecdotal evidence and other feedback (positive comments; requested changes to entries in the service directory from allied mental health professionals) indicate that the website is being recognised as an important resource of and hub for local information relating to the BAMHC program for GPs and allied health professionals.

CONCLUSIONS

Integral to the website's success and sustainability is the close and continued monitoring and updating of the information provided. A formal, longitudinal evaluation 18 months to 2 years after the website's launch is recommended to provide a more rigorous assessment of the tool, and examine possible improvements. While the project does not address the problem of the supply of allied mental health providers in rural areas, it does provide assistance with responsive service system expansion and the provision of a localized tool for accessing appropriate information about mental health services.

摘要

引言

乡村全科医生在为患者提供心理健康护理方面发挥着重要作用。因此,他们能够获得可靠的支持和建议以增强现有知识至关重要。本文概述了澳大利亚乡村巴拉瑞特及地区全科医学部(BDDGP)近期发起的一个项目,该项目旨在开发并实施一个在线资源,以促进“改善心理健康护理途径”(BAMHC)项目在当地的实施与推广。这个为期12个月的项目是应当地全科医生关于获取更多BAMHC项目信息及使用该项目的支持的请求而启动的。该项目是包括当地全科医生、BDDGP的全科医生顾问、BDDGP工作人员以及巴拉瑞特大学的两个研究中心(健康研究与实践中心以及电子商务与通信中心)在内的关键利益相关者之间大量协作的成果。本文记录了该项目从启动到实施所涉及的关键阶段,并报告了该资源在发布12个月后的使用情况。

方法

BDDGP代表107名全科医生和6名全科医生注册实习生,覆盖面积达7300平方公里的广大乡村/半乡村地区,服务人口超过12万。该项目的形式和设计包括四个不同但相互关联的开发阶段:(1)制定项目规范并使其适用于BDDGP服务区域;(2)构建一个包含7个连续步骤的决策支持工具,这些步骤包括关键问题及详细答案的链接;(3)开发并填充当地联合健康专业人员的在线服务目录;(4)构建网站,以便全科医生和其他服务提供者能够轻松访问和浏览。

结果

该网站于2007年12月正式上线,由BDDGP托管。自上线以来,它获得了大力支持。在上线后的12个月里,该网站有定期且持续的访问量(2847次访问/11500次页面浏览)。此外,轶事证据和其他反馈(积极评价;联合心理健康专业人员请求更改服务目录中的条目)表明,该网站被视为全科医生和联合健康专业人员获取与BAMHC项目相关的当地信息的重要资源和中心。

结论

该网站成功与可持续发展的关键在于对所提供信息进行密切且持续的监测与更新。建议在网站上线18个月至2年后进行正式的纵向评估,以对该工具进行更严格的评估,并研究可能的改进之处。虽然该项目并未解决乡村地区联合心理健康服务提供者供应不足的问题,但它确实为响应式服务系统的扩展以及提供获取心理健康服务适当信息的本地化工具提供了帮助。

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