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西班牙急性住院精神科病房的结构与运作:定性研究

Structure and Functioning of Acute Inpatient Psychiatric Units in Spain: Qualitative Study.

作者信息

Rodriguez-Jimenez Roberto, Corripio Iluminada, Campos Ricardo, Páramo Mario, Franco-Martin Manuel, Segura Estefanía, González Sergio, Martínez-Raga José

机构信息

Department of Psychiatry, Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), Madrid, Spain.

Biomedical Research Networking Centre in Mental Health (CIBERSAM), Madrid, Spain.

出版信息

JMIR Res Protoc. 2021 Apr 7;10(4):e26214. doi: 10.2196/26214.

DOI:10.2196/26214
PMID:33729167
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8060864/
Abstract

BACKGROUND

As a consequence of the decentralization of health care provision to the different Regions (called Autonomous Communities) in Spain, different health care models and resources have been developed for psychiatric patients. It would be very useful to obtain comprehensive and comparative data on health care models, resources, and activity of acute inpatient psychiatric units (AIPUs) as a key part of mental health systems.

OBJECTIVE

The aim of this study was to determine the current state of AIPUs in Spain through a national scorecard that allows the current situation to be visualized in terms of resources, processes, and outputs.

METHODS

A 104-item online questionnaire was sent to all the AIPUs of the different Regions in Spain. It was divided into 11 sections, including data on the resources, processes, and outputs of the AIPUs plus general data, an indicator dashboard, and good practices.

RESULTS

The questionnaire was completed by 60.0% (117/195) of the AIPUs invited to participate. The information collected has allowed us to obtain a detailed snapshot of the current situation of AIPUs in Spain at the levels of infrastructure and material resources, staffing, organization and activity of the units, coordination with other units, guidelines, processes and protocols used, participation and communication with patients and their families, teaching activity, and research linked to the units.

CONCLUSIONS

This project aimed to help understand the general situation of AIPUs in Spain and its different Regions, contribute to enhancing the benchmarking and harmonization among Spanish Regions, and provide data for future comparisons with other countries.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/26214.

摘要

背景

由于西班牙将医疗服务提供权下放到不同地区(称为自治区),针对精神科患者开发了不同的医疗模式和资源。获取有关作为精神卫生系统关键部分的急性住院精神科病房(AIPU)的医疗模式、资源和活动的全面且可比的数据将非常有用。

目的

本研究的目的是通过一份全国记分卡来确定西班牙AIPU的现状,该记分卡能够从资源、流程和产出方面直观呈现当前情况。

方法

向西班牙不同地区的所有AIPU发送了一份包含104个条目的在线问卷。问卷分为11个部分,包括AIPU的资源、流程和产出数据以及一般数据、指标仪表盘和良好实践。

结果

受邀参与的AIPU中有60.0%(117/195)完成了问卷。收集到的信息使我们能够详细了解西班牙AIPU在基础设施和物质资源、人员配备、科室组织与活动、与其他科室的协调、使用的指南、流程和协议、与患者及其家属的参与和沟通、教学活动以及与科室相关的研究等方面的当前状况。

结论

该项目旨在帮助了解西班牙及其不同地区AIPU的总体情况,有助于加强西班牙各地区之间的标杆管理与协调统一,并为未来与其他国家的比较提供数据。

国际注册报告标识符(IRRID):RR1-10.2196/26214。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a240/8060864/f04c2fa77f1a/resprot_v10i4e26214_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a240/8060864/4c4c9a3defb9/resprot_v10i4e26214_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a240/8060864/f04c2fa77f1a/resprot_v10i4e26214_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a240/8060864/4c4c9a3defb9/resprot_v10i4e26214_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a240/8060864/f04c2fa77f1a/resprot_v10i4e26214_fig2.jpg

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