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领导力发展对全科医生心理健康诊疗的影响。

The impact of leadership development on GP mental health commissioning.

作者信息

Dickerson Emma, Fenge Lee-Ann, Rosenorn-Lanng Emily

机构信息

NIHR CLAHRC East of England, Cambridge, UK.

Faculty of Health and Social Science, Bournemouth University , Bournemouth, UK.

出版信息

Leadersh Health Serv (Bradf Engl). 2017 Jul 3;30(3):343-351. doi: 10.1108/LHS-09-2016-0046.

Abstract

Purpose This paper aims to explore the learning needs of general practitioners (GPs) involved in commissioning mental health provision in England, and offer an evaluation of a leadership and commissioning skills development programme for Mental Health Commissioners. Design/methodology/approach Retrospective mixed method, including online mixed method survey, rating participants' knowledge, skills, abilities, semi-structured telephone interviews and third-party questionnaires were used. Results were analysed for significant differences using the Wilcoxon Signed Ranks test. Open-ended responses and interview transcripts were analysed thematically. Findings Indicative results showed that participants perceived significant impacts in ability across eight key question groups evaluated. Differences were found between the perceived and observed impact in relation to technical areas covered within the programme which were perceived as the highest scoring impacts by participants. Research limitations/implications The indicative results show a positive impact on practice has been both perceived and observed. Findings illustrate the value of this development programme on both the personal development of GP Mental Health Commissioners and commissioning practice. Although the findings of this evaluation increase understanding in relation to an important and topical area, larger scale, prospective evaluations are required. Impact evaluations could be embedded within future programmes to encourage higher participant and third-party engagement. Future evaluations would benefit from collection and analysis of attendance data. Further research could involve patient, service user and carer perspectives on mental health commissioning. Originality value Results of this evaluation could inform the development of future learning programmes for mental health commissioners as part of a national approach to improve mental health provision.

摘要

目的 本文旨在探究参与英格兰心理健康服务委托工作的全科医生(GPs)的学习需求,并对心理健康专员领导力与委托技能发展计划进行评估。设计/方法/途径 采用回顾性混合方法,包括在线混合方法调查,评估参与者的知识、技能、能力,进行半结构化电话访谈以及第三方问卷调查。使用Wilcoxon符号秩检验分析结果的显著差异。对开放式回答和访谈记录进行主题分析。研究结果 指示性结果表明,参与者在评估的八个关键问题组中均感受到能力有显著提升。在该计划所涵盖的技术领域,参与者认为的影响与观察到的影响之间存在差异,而这些技术领域被参与者视为得分最高的影响方面。研究局限/启示 指示性结果表明,对实践的积极影响已被感知和观察到。研究结果说明了该发展计划对全科心理健康专员个人发展和委托实践的价值。尽管此次评估结果增进了对一个重要且热门领域的理解,但仍需要更大规模的前瞻性评估。影响评估可纳入未来计划,以鼓励更高的参与者和第三方参与度。未来评估将受益于出勤数据的收集和分析。进一步的研究可涉及患者、服务使用者和护理人员对心理健康委托的看法。原创价值 此次评估结果可为未来心理健康专员学习计划的制定提供参考,作为国家改善心理健康服务方法的一部分。

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