Clinical Research Unit for Anxiety Disorders, School of Psychiatry, University of New South Wales, Australia.
Behav Res Ther. 2009 Nov;47(11):974-9. doi: 10.1016/j.brat.2009.07.007. Epub 2009 Jul 21.
Dissemination is complex. It depends on the value of what is being disseminated to the recipient, and on professional and financial barriers to the adoption of what is being disseminated. Four examples are considered. In the first, an effective treatment program for adult stutterers, the tribal nature of health care slowed adoption. In the second, a model anxiety disorders clinic, a text book and matching video aided dissemination. In the third, government policy made it difficult for primary care physicians to carry out the CBT they had learned. In the fourth, the internet treatment for anxiety and depression succeeded because of the pent up demand for such services among the public.
传播是复杂的。它取决于被传播的内容对接收者的价值，以及被传播的内容在专业和财务方面被采用的障碍。考虑了四个例子。在第一个例子中，针对成人口吃者的有效治疗方案，由于医疗保健的部落性质，导致其难以被采用。在第二个例子中，一个焦虑障碍诊所的模型，一本教科书和配套的视频辅助了传播。在第三个例子中，政府政策使得初级保健医生难以实施他们所学的 CBT。在第四个例子中，焦虑和抑郁的互联网治疗取得了成功，因为公众对这类服务有强烈的需求。
