Iorfino Frank, Piper Sarah E, Prodan Ante, LaMonica Haley M, Davenport Tracey A, Lee Grace Yeeun, Capon William, Scott Elizabeth M, Occhipinti Jo-An, Hickie Ian B
Brain and Mind Centre, The University of Sydney, Sydney, NSW, Australia.
Translational Health Research Institute, Western Sydney University, Sydney, NSW, Australia.
Front Health Serv. 2021 Nov 18;1:745456. doi: 10.3389/frhs.2021.745456. eCollection 2021.
Enhanced care coordination is essential to improving access to and navigation between youth mental health services. By facilitating better communication and coordination within and between youth mental health services, the goal is to guide young people quickly to the level of care they need and reduce instances of those receiving inappropriate care (too much or too little), or no care at all. Yet, it is often unclear how this goal can be achieved in a scalable way in local regions. We recommend using technology-enabled care coordination to facilitate streamlined transitions for young people across primary, secondary, more specialised or hospital-based care. First, we describe how technology-enabled care coordination could be achieved through two fundamental shifts in current service provisions; a model of care which puts the person at the centre of their care; and a technology infrastructure that facilitates this model. Second, we detail how dynamic simulation modelling can be used to rapidly test the operational features of implementation and the likely impacts of technology-enabled care coordination in a local service environment. Combined with traditional implementation research, dynamic simulation modelling can facilitate the transformation of real-world services. This work demonstrates the benefits of creating a smart health service infrastructure with embedded dynamic simulation modelling to improve operational efficiency and clinical outcomes through participatory and data driven health service planning.
加强护理协调对于改善青少年心理健康服务的可及性以及在这些服务之间的转诊至关重要。通过促进青少年心理健康服务内部以及不同服务之间更好的沟通与协调,目标是引导年轻人迅速获得他们所需的护理水平,并减少接受不适当护理(过多或过少)或根本没有接受护理的情况。然而,在当地地区如何以可扩展的方式实现这一目标往往并不明确。我们建议使用基于技术的护理协调来促进年轻人在初级、二级、更专业或医院护理之间的顺畅转诊。首先,我们描述如何通过当前服务提供方式的两个根本性转变来实现基于技术的护理协调:一种以患者为中心的护理模式;以及一个便于这种模式实施的技术基础设施。其次,我们详细说明动态模拟建模如何能够用于快速测试在当地服务环境中实施的操作特征以及基于技术的护理协调可能产生的影响。与传统的实施研究相结合,动态模拟建模能够促进现实世界服务的转型。这项工作展示了创建一个嵌入动态模拟建模的智能健康服务基础设施的益处,通过参与式和数据驱动的健康服务规划来提高运营效率和临床结果。