Candidate Health Services Research - Health Informatics Institute of Health Policy, Management and Evaluation University of Toronto Toronto, ON.
Associate Professor Institute of Health Policy, Management and Evaluation University of Toronto Senior Scientist and Chief Clinical Informatics Officer Centre for Addiction and Mental Health Toronto, ON.
Healthc Policy. 2023 Aug;19(1):40-48. doi: 10.12927/hcpol.2023.27159.
With significant unmet needs for mental healthcare in Canada, there is a growing interest in e-mental health (e-MH) services to meet gaps in access. While the policy window appears to be open, it is unclear how best to implement e-MH services due to health system barriers that create unmet needs in the first place. We explore the financing, organization and delivery of Canadian mental health services and discuss the promise of e-MH services for alleviating access barriers, highlighting increased policy attention during the COVID-19 pandemic. We consider how evidence-based e-MH services have successfully scaled in other publicly funded healthcare systems and note potential issues in the Canadian context.
加拿大在精神卫生保健方面存在巨大的未满足需求，因此人们越来越关注电子心理健康（e-MH）服务，以满足获取服务方面的差距。虽然政策窗口似乎已经打开，但由于首先造成未满足需求的卫生系统障碍，尚不清楚如何最好地实施电子心理健康服务。我们探讨了加拿大精神卫生服务的融资、组织和提供情况，并讨论了电子心理健康服务缓解获取障碍的前景，重点介绍了在 COVID-19 大流行期间政策关注度的提高。我们考虑了循证电子心理健康服务在其他公共资助的医疗保健系统中成功扩展的情况，并指出了加拿大环境中的潜在问题。
