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在拉丁美洲的心理健康服务中实施常规结果监测的时机已经到来。

The time has come to implement routine outcome monitoring in mental health services across Latin America.

作者信息

Paz Clara, Dogmanas Denisse, Behn Alex

机构信息

Grupo de Investigación en Bienestar, Salud y Sociedad, Escuela de Psicología y Educación, Universidad de Las Américas, Quito, Ecuador.

Facultad de Psicología, Universidad de la República, Montevideo, Uruguay.

出版信息

Front Public Health. 2025 May 14;13:1557029. doi: 10.3389/fpubh.2025.1557029. eCollection 2025.

Abstract

This perspective highlights the transformative potential of routine outcome monitoring in mental health care and public health, advocating for its adoption in Latin America to enhance data-driven decision-making and service quality across the lifespan. The discussion examines global advancements alongside local efforts to implement routine outcome monitoring, addressing key challenges such as infrastructure limitations, clinician engagement, and the need for contextual adaptations. Central to these efforts are strategies like utilizing digital platforms, fostering political commitment, securing financial investments, and prioritizing person-/patient-centered approaches. By integrating routine outcome monitoring into public health systems, policymakers and practitioners can better monitor mental health trends, allocate resources effectively, and design interventions that address community needs. While significant barriers remain, we urge the adoption of digital routine outcome monitoring solutions in Latin America and call for collaborative efforts to fully realize the potential of routine outcome monitoring in improving both mental health services and broader public health initiatives.

摘要

这一观点强调了心理健康护理和公共卫生中常规结果监测的变革潜力,倡导在拉丁美洲采用该方法,以加强全生命周期的数据驱动决策和服务质量。讨论审视了全球进展以及当地实施常规结果监测的努力,探讨了诸如基础设施限制、临床医生参与度以及因地制宜调整的必要性等关键挑战。这些努力的核心策略包括利用数字平台、促进政治承诺、确保资金投入以及优先采用以人为本/以患者为中心的方法。通过将常规结果监测纳入公共卫生系统,政策制定者和从业者能够更好地监测心理健康趋势、有效分配资源,并设计满足社区需求的干预措施。尽管仍然存在重大障碍,但我们敦促在拉丁美洲采用数字化常规结果监测解决方案,并呼吁各方共同努力,充分发挥常规结果监测在改善心理健康服务和更广泛的公共卫生举措方面的潜力。

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