School of Rural Health, Faculty of Medicine Nursing and Health Sciences, Monash University, Warragul, VIC 3820, Australia.
Victorian and Tasmanian Primary Health Network Alliance, Parkville, VIC 3052, Australia.
Int J Environ Res Public Health. 2023 May 8;20(9):5747. doi: 10.3390/ijerph20095747.
Centralized intake [CI] or single-entry models are utilized in health systems to facilitate service access by reducing waiting times. This scoping review aims to consolidate the Literature on CI service models to identify their characteristics and rationales for their use, as well as contexts in which they are used and challenges and benefits in implementing them. The review also aims to offer some lessons learned from the Literature and to make recommendations for its implementation in non-acute mental health services. The findings show that CI is mostly considered when there is increased demand for services and clients are required to navigate multiple services that operate individually. Successful models have meaningfully engaged all stakeholders from the outset and the telephone is the most common mode of intake. Recommendations are made for planning and preparation, for elements of the model, and for setting up the service network. When successfully implemented, CI has been shown to improve access and increase demand for services. However, if CI is not supported by a network of service providers who offer care that is acceptable to clients, the purpose of its implementation could be lost.
集中受理[CI]或单一入口模型被用于医疗系统中，以通过减少等候时间来方便服务的获取。本综述旨在整合关于 CI 服务模型的文献，以确定其特点和使用理由，以及其使用的背景、实施面临的挑战和收益。综述还旨在提供一些从文献中吸取的经验教训，并为非急性心理健康服务中实施 CI 提出建议。研究结果表明，当服务需求增加且客户需要单独使用多个服务时，通常会考虑采用 CI。成功的模型从一开始就充分吸引了所有利益攸关方，电话是最常见的受理方式。对规划和准备、模型要素以及服务网络的建立提出了建议。CI 若能成功实施，将有助于改善服务获取并增加服务需求。然而，如果 CI 得不到提供客户可接受服务的服务提供者网络的支持，其实施目的可能会落空。
