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面向医生的数字化驱动的基层医疗精神病学短期和中期课程:基于主题的分析与绩效审计

Digitally Driven Short- and Intermediate-term Courses of Primary Care Psychiatry for Doctors: A Theme-based Analysis and Performance Audit.

作者信息

Nanjudaswamy Madhuri H, Joseph Rini, Sethi Mi Singh, Manjunatha Narayana, Kumar Channaveerachari Naveen, Chand Prabhat K, Math Suresh Bada

机构信息

Dept. of Psychiatry, National Institute of Mental Health & Neurosciences (NIMHANS), Bangalore, Karnataka, India.

Tele Medicine Centre, NIMHANS Digital Academy, Dept. of Psychiatry, National Institute of Mental Health & Neurosciences (NIMHANS), Bangalore, Karnataka, India.

出版信息

Indian J Psychol Med. 2024 Dec 1:02537176241297339. doi: 10.1177/02537176241297339.

Abstract

BACKGROUND

The National Mental Health Survey of India 2015-2016 identified a substantial treatment gap in mental healthcare, emphasizing the urgent need for improved training of primary care doctors (PCDs) in managing psychiatric disorders. This study aimed to evaluate the effectiveness of three digitally delivered primary care psychiatry courses offered by the department of psychiatry in a tertiary neuropsychiatric center: the Certificate Course in Primary Mental Healthcare (CCPMH), the Diploma in Community Mental Health (DCMH), and the Diploma in Primary Care Psychiatry (DPCP).

METHODS

Based on the board of studies documents, including curriculum, delivery methods, accreditation criteria, and outcomes, a comparative and thematic analysis of the courses was conducted.

RESULTS

The digital courses differed in duration, depth, and delivery methods. The DPCP, the most intensive and personalized program, was highly effective in translating knowledge into clinical practice. The CCPMH provided a foundational, short-term course for PCDs, while the DCMH covered a broader range of topics relevant to primary care psychiatry, supplemented with self-learning modules. All courses significantly contributed to reducing the mental health treatment gap by training a substantial number of PCDs.

CONCLUSIONS

Digitally delivered courses are essential in addressing the mental health treatment gap in India. The DPCP, with its emphasis on practical training and personalized learning, demonstrates high effectiveness in equipping PCDs with the necessary skills to manage psychiatric disorders. However, further research is needed to evaluate long-term outcomes and to address the scalability and accessibility challenges of these.

摘要

背景

2015 - 2016年印度全国心理健康调查发现精神卫生保健存在巨大的治疗缺口,强调迫切需要加强对初级保健医生(PCD)管理精神障碍方面的培训。本研究旨在评估一所三级神经精神科中心的精神科提供的三门数字化初级保健精神病学课程的效果:初级精神卫生保健证书课程(CCPMH)、社区心理健康文凭课程(DCMH)和初级保健精神病学文凭课程(DPCP)。

方法

基于包括课程设置、授课方式、认证标准和成果在内的研究委员会文件,对这些课程进行了比较和主题分析。

结果

这些数字化课程在时长、深度和授课方式上存在差异。DPCP是最密集且个性化的课程,在将知识转化为临床实践方面非常有效。CCPMH为初级保健医生提供了一门基础短期课程,而DCMH涵盖了更广泛的与初级保健精神病学相关的主题,并辅以自学模块。所有课程通过培训大量初级保健医生,对缩小精神卫生治疗缺口做出了显著贡献。

结论

数字化课程对于解决印度的精神卫生治疗缺口至关重要。DPCP强调实践培训和个性化学习,在使初级保健医生具备管理精神障碍所需技能方面显示出高效性。然而,需要进一步研究来评估长期结果,并应对这些课程的可扩展性和可及性挑战。

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Mental Healthcare Act 2017 - Aspiration to action.2017年精神卫生保健法——从愿景到行动。
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Distance training for the delivery of psychiatric services in primary care.基层医疗中精神科服务提供的远程培训。
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History of psychiatry in India.印度精神病学史。
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