Psychiatry Department, Institutd' Investigació Biomèdica-Sant Pau (IIB-SANT PAU), Hospital de la Santa CreuiSant Pau, Universitat Autònoma de Barcelona (UAB), 08193 Barcelona, Spain.
CIBERSAM, Biomedical Research Networking Centre Consortium on Mental Health, 28029 Madrid, Spain.
Int J Environ Res Public Health. 2020 Oct 16;17(20):7527. doi: 10.3390/ijerph17207527.
Community services are gaining ground when it comes to attention to patients with psychiatric diseases. Regarding patients with treatment-resistant schizophrenia (TRS), the use of information and communication technology (ICT) could help to shift the focus from hospital-centered attention to community services. This study compares the differences in mental health services provided for patients with TRS in Budapest (Hungary), Tel-Aviv (Israel) and Catalonia (Spain) by means of a method for the quick appraisal of gaps among the three places, for a potential implementation of the same ICT tool in these regions.
An adapted version of the Description and Standardised Evaluation of Services and Directories in Europe for Long Term Care (DESDE-LTC) instrument was made by researchers in Semmelweis University (Budapest, Hungary), Gertner Institute (Tel-Aviv, Israel) and Hospital de la Santa Creu I Sant Pau and Parc Sanitari Sant Joan de Déu (Catalonia, Spain).
Two types of outpatient care services were available in the three regions. Only one type of day-care facility was common in the whole study area. Two residential care services, one for acute and the other for non-acute patients were available in every region. Finally, two self-care and volunteer-care facilities were available in the three places.
Although the availability of services was different in each region, most of the services provided were sufficiently similar to allow the implementation of the same ICT solution in the three places.
社区服务在关注精神疾病患者方面越来越受到重视。对于治疗抵抗性精神分裂症（TRS）患者，信息和通信技术（ICT）的使用有助于将注意力从以医院为中心的服务转移到社区服务。本研究通过一种快速评估三地之间差距的方法，比较了布达佩斯（匈牙利）、特拉维夫（以色列）和加泰罗尼亚（西班牙）三地为 TRS 患者提供的精神卫生服务的差异，以便在这些地区实施相同的 ICT 工具。
研究者在塞梅尔维斯大学（匈牙利布达佩斯）、格特纳研究所（以色列特拉维夫）和圣十字圣保罗医院和圣若望德乌医院和圣保禄医疗中心（西班牙加泰罗尼亚）制作了一个经过改编的描述和标准化评估服务及长期护理目录（DESDE-LTC）工具的版本。
三个地区都有两种类型的门诊护理服务。整个研究区域只有一种日间护理设施是共同的。每个地区都有两种住院护理服务，一种是急性患者，另一种是非急性患者。最后，三个地方都有两种自我护理和志愿者护理设施。
尽管每个地区的服务提供情况不同，但提供的大多数服务足够相似，允许在这三个地区实施相同的 ICT 解决方案。
