衡量沙特阿拉伯农村精神卫生保健服务的绩效
Measuring Performance of Rural Mental Healthcare Services in Saudi Arabia.
作者信息
Alblowi Eman A, Shujaa Mona A, Alonazi Wadi B
机构信息
Health Administration Department, College of Business Administration, King Saud University, Riyadh, 11587, Saudi Arabia.
出版信息
Psychol Res Behav Manag. 2023 Sep 20;16:3895-3905. doi: 10.2147/PRBM.S420662. eCollection 2023.
INTRODUCTION
Recently, the Saudi government has proposed several initiatives to promote mental health, including the national program named . The objective of this study was to observe the performance of mental hospitals using a balanced scorecard through this federal program.
METHODS
Secondary quantitative analysis was implemented utilizing the report program data in 2022. The report adopted a balanced scorecard (BSC) concept. The study focused on 19 mental health facilities ( Hospitals) in the Ministry of Health (MOH) regions. The MOH's annual statistical report for 2018 and 2022 was reviewed to explore more about beds, staff, and the number of new mental disorder cases. Data were analyzed using Microsoft Excel 365 and the Statistical Package for Social Sciences (SPSS Version 25) software. Mental health hospitals were classified into three categories.
RESULTS
Most rural hospitals had lower performance in the yellow threshold value that might need improvement. The data shows that the mean of all hospital performance in some domains ranged, yielding 70% staff engagement and 77% continued educational activity, indicating unsatisfactory performance across public mental health services. The means score of access to care was 97.0% and 94.7%, marking the better mental health services provided. Between 2018 and 2022, there was a significant rise in the prevalence of mental disorders, as evidenced by the number of new patients and outpatients indicated by specific mental diseases, including conditions of psychological development (F80-F98).
DISCUSSION
The high quality of mental healthcare is manifested by therapeutic ethos with a high degree of interaction between professional careers and service users. The former is enhanced by highly educated, competent, compassionate, self-aware, and specialized healthcare professionals in mental health. When assessing mental healthcare services, we recommend considering providers' and professionals' conditions for successful implementation in alignment with patient experience.
引言
最近，沙特政府提出了多项促进心理健康的举措，包括名为……的国家项目。本研究的目的是通过这个联邦项目，使用平衡计分卡来观察精神病院的表现。
方法
利用2022年的……报告程序数据进行二次定量分析。该报告采用了平衡计分卡（BSC）概念。研究聚焦于卫生部（MOH）各地区的19家精神卫生机构（……医院）。对卫生部2018年和2022年的年度统计报告进行了审查，以进一步了解床位、工作人员以及新精神障碍病例数。使用微软Excel 365和社会科学统计软件包（SPSS 25版）软件对数据进行分析。精神卫生医院被分为三类。
结果
大多数农村医院在黄色阈值方面表现较低，可能需要改进。数据显示，所有医院在某些领域的平均表现参差不齐，员工参与度为70%，继续教育活动为77%，表明公共精神卫生服务的表现不尽人意。获得护理的平均得分分别为97.0%和94.7%，这表明提供了较好的精神卫生服务。2018年至2022年期间，精神障碍患病率显著上升，具体精神疾病（包括心理发育状况，F80 - F98）的新患者和门诊患者数量证明了这一点。
讨论
高质量的精神卫生保健体现在治疗理念上，即职业生涯与服务使用者之间有高度的互动。前者通过精神卫生领域受过高等教育、有能力、富有同情心、有自我意识且专业的医疗保健专业人员得到加强。在评估精神卫生保健服务时，我们建议考虑提供者和专业人员的条件，以便与患者体验保持一致，成功实施服务。
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