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[电子心理健康干预在心理卫生保健中的潜力与挑战]

[Potentials and Challenges of E-Mental Health Interventions in Mental Health Care].

作者信息

Köhnen Moritz, Dirmaier Jörg, Härter Martin

出版信息

Fortschr Neurol Psychiatr. 2019 Mar;87(3):160-164. doi: 10.1055/a-0853-2568. Epub 2019 Mar 19.

Abstract

Mental disorders are common and impairing for both affected individuals and society. Despite the great burden of mental disorders and a comparably well-developed mental health care system in Germany, mental disorders are still treated insufficiently. Additionally, access barriers such as long waiting times for outpatient treatment impede utilization of mental health care services. E-mental health interventions are considered as promising options to reduce access barriers and to overcome gaps in the mental health care system. Such interventions can be delivered flexibly (i. e. independent of time and / or space), so that people living in rural and underserved areas, or people with mobility constraints (e. g. because of physical illness or impairment) can be reached adequately. However, the e-(mental) health sector is facing numerous challenges, as there is ambiguity regarding terminological, conceptual and evaluative aspects hindering the implementation process in routine care and affecting acceptance of e-mental health interventions for users and health care providers. Thus, this contribution describes and discusses potentials, challenges and needs for specification (e. g. terminologically) of e-mental health interventions in the context of mental health care.

摘要

精神障碍对于受影响的个人和社会来说都很常见且具有损害性。尽管精神障碍负担沉重,德国也有相对完善的精神卫生保健系统,但精神障碍的治疗仍不充分。此外,诸如门诊治疗等待时间过长等获取障碍阻碍了精神卫生保健服务的利用。电子心理健康干预被视为减少获取障碍和克服精神卫生保健系统差距的有前景的选择。此类干预可以灵活提供(即不受时间和/或空间限制),从而能够充分惠及生活在农村和服务不足地区的人群,或行动不便的人群(例如由于身体疾病或损伤)。然而,电子(精神)健康领域面临众多挑战,因为在术语、概念和评估方面存在模糊性,这阻碍了常规护理中的实施过程,并影响了用户和医疗保健提供者对电子心理健康干预的接受度。因此,本文描述并讨论了在精神卫生保健背景下电子心理健康干预的潜力、挑战以及规范(例如术语方面)的需求。

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