将心理健康服务融入初级卫生保健中的障碍和促进因素：系统评价方案。
Barriers and facilitators to the integration of mental health services into primary health care: a systematic review protocol.
机构信息
Office of Research Administration, Mbarara University of Science and Technology, Mbarara, Uganda.
Department of Psychiatry, College of Health Sciences, Makerere University, Kampala, Uganda.
出版信息
Syst Rev. 2017 Aug 25;6(1):171. doi: 10.1186/s13643-017-0561-0.
BACKGROUND
Mental health is an integral part of health and well-being and yet health systems have not adequately responded to the burden of mental disorders. Integrating mental health services into primary health care (PHC) is the most viable way of closing the treatment gap and ensuring that people get the mental health care they need. PHC was formally adapted by the World Health Organization (WHO), and they have since invested enormous amounts of resources across the globe to ensure that integration of mental health services into PHC works.
METHODS
This review will use the SPIDER (Sample, Phenomenon of Interest, Design, Evaluation, Research type) framework approach to identify experiences of mental health integration into PHC; the findings will be reported using the "Best fit" framework synthesis. PubMed, EMBASE, PsycINFO, and Cochrane Central Register of Controlled trials (CENTRAL) will be searched including other sources like the WHO website and OpenGrey database. Assessment of bias and quality will be done at study level using two separate tools to check for the quality of evidence presented. Data synthesis will take on two synergistic approaches (qualitative and quantitative studies). Synthesizing evidence from countries across the globe will provide useful insights into the experiences of integrating mental health services into PHC and how the barriers and challenges have been handled. The findings will be useful to a wide array of stakeholders involved in the implementation of the mental health integration into PHC.
DISCUSSION
The SPIDER framework has been chosen for this review because of its suitable application to qualitative and mixed methods research and will be used as a guide when selecting articles for inclusion. Data extracted will be synthesized using the "Best fit" framework because it has been used before and proved its suitability in producing new conceptual models for explaining decision-making and possible behaviors. Synthesizing evidence from countries across the globe will provide useful insights into the experiences of integrating mental health services into PHC and how the barriers and challenges have been handled.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO CRD42016052000.
背景
心理健康是健康和幸福的一个组成部分，但卫生系统尚未充分应对精神障碍的负担。将精神卫生服务纳入初级卫生保健（PHC）是缩小治疗差距和确保人们获得所需精神卫生保健的最可行途径。世界卫生组织（WHO）正式采用了 PHC，并在全球范围内投入了大量资源，以确保将精神卫生服务纳入 PHC 发挥作用。
方法
本综述将使用 SPIDER（样本、感兴趣的现象、设计、评估、研究类型）框架方法来确定将精神卫生整合到 PHC 中的经验；将使用“最佳拟合”框架综合报告研究结果。将在 PubMed、EMBASE、PsycINFO 和 Cochrane 对照试验中心注册（CENTRAL）中进行搜索，包括世界卫生组织网站和 OpenGrey 数据库等其他来源。将使用两种单独的工具在研究水平上评估偏倚和质量，以检查提出的证据质量。数据综合将采用两种协同方法（定性和定量研究）。综合来自全球各国的证据将为将精神卫生服务整合到 PHC 中提供有用的见解，以及如何处理障碍和挑战。研究结果将对广泛参与实施精神卫生整合到 PHC 的利益相关者有用。
讨论
选择 SPIDER 框架进行本次综述，是因为它适用于定性和混合方法研究，并将作为选择纳入文章的指南。将使用“最佳拟合”框架综合提取的数据，因为它之前已被使用，并证明其在生成用于解释决策和可能行为的新概念模型方面的适用性。综合来自全球各国的证据将为将精神卫生服务整合到 PHC 中提供有用的见解，以及如何处理障碍和挑战。
系统评价注册
PROSPERO CRD42016052000。
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