...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Medical Informatics and Decision Making >A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland
【24h】

A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland

机译：全国卫生服务基础设施和政策调查对苏格兰获取计算机化CBT的影响

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background NICE recommends computerised cognitive behavioural therapy (cCBT) for the treatment of several mental health problems such as anxiety and depression. cCBT may be one way that services can reduce waiting lists and improve capacity and efficiency. However, there is some doubt about the extent to which the National Health Service (NHS) in the UK is embracing this new health technology in practice. This study aimed to investigate Scottish health service infrastructure and policies that promote or impede the implementation of cCBT in the NHS. Methods A telephone survey of lead IT staff at all health board areas across Scotland to systematically enquire about the ability of local IT infrastructure and IT policies to support delivery of cCBT. Results Overall, most of the health boards possess the required software to use cCBT programmes. However, the majority of NHS health boards reported that they lack dedicated computers for patient use, hence access to cCBT at NHS sites is limited. Additionally, local policy in the majority of boards prevent staff from routinely contacting patients via email, skype or instant messenger, making the delivery of short, efficient support sessions difficult. Conclusions Conclusions: Overall most of the infrastructure is in place but is not utilised in ways that allow effective delivery. For cCBT to be successfully delivered within a guided support model, as recommended by national guidelines, dedicated patient computers should be provided to allow access to online interventions. Additionally, policy should allow staff to support patients in convenient ways such as via email or live chat. These measures would increase the likelihood of achieving Scottish health service targets to reduce waiting time for psychological therapies to 18 weeks.
机译：背景NICE建议使用计算机化认知行为疗法（cCBT）来治疗一些心理健康问题，例如焦虑和抑郁。 cCBT可能是服务可以减少等待列表并提高容量和效率的一种方式。但是，对于英国国家卫生服务局（NHS）在实践中采用这种新卫生技术的程度，存在一些疑问。这项研究旨在调查苏格兰卫生服务基础设施和政策，这些政策和政策促进或阻碍了NHS中cCBT的实施。方法对苏格兰所有卫生局地区的主要IT员工进行电话调查，以系统地查询本地IT基础架构和IT政策支持交付cCBT的能力。结果总的来说，大多数卫生局拥有使用cCBT程序所需的软件。但是，大多数NHS卫生委员会报告说，它们缺少专用于患者使用的计算机，因此在NHS站点访问cCBT受到限制。此外，大多数董事会的当地政策都阻止员工定期通过电子邮件，Skype或即时通讯工具与患者联系，从而难以提供简短，有效的支持会议。结论结论：总体上，大多数基础结构都已到位，但未以允许有效交付的方式加以利用。为了按照国家指南的建议在指导性支持模式下成功交付cCBT，应提供专用的患者计算机以允许访问在线干预措施。此外，政策应允许员工以便利的方式（例如通过电子邮件或实时聊天）为患者提供支持。这些措施将增加实现苏格兰医疗服务目标的可能性，从而将心理治疗的等待时间减少到18周。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号