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首页> 外文期刊>Implementation Science >Implementing a knowledge application program for anxiety and depression in community-based primary mental health care: a multiple case study research protocol
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Implementing a knowledge application program for anxiety and depression in community-based primary mental health care: a multiple case study research protocol

机译：在基于社区的初级精神卫生保健中实施针对焦虑和抑郁的知识应用程序：多案例研究研究方案

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Background Anxiety and depressive disorders are increasingly recognized as a health care policy priority. Reducing the treatment gap for common mental disorders requires strengthening the quality of primary mental health care. We developed a knowledge application program designed to improve the organization and delivery of care for anxiety and depression in community-based primary mental health care teams in Quebec, Canada. The principal objectives of the study are: to implement and evaluate this evidence-based knowledge application program; to examine the contextual factors associated with the selection of local quality improvement strategies; to explore barriers and facilitators associated with the implementation of local quality improvement plans; and to study the implementation of local quality monitoring strategies. Methods The research design is a mixed-methods prospective multiple case study. The main analysis unit (cases) is composed of the six multidisciplinary community-based primary mental health care teams, and each of the cases has identified at least one primary care medical clinic interested in collaborating with the implementation project. The training modules of the program are based on the Chronic Care Model, and the implementation strategies were developed according to the Promoting Action on Research Implementation in Health Services conceptual framework. Discussion The implementation of an evidence-based knowledge application program for anxiety and depression in primary care aims to improve the organization and delivery of mental health services. The uptake of evidence to improve the quality of care for common mental disorders in primary care is a complex process that requires careful consideration of the context in which innovations are introduced. The project will provide a close examination of the interplay between evidence, context and facilitation, and contribute to the understanding of factors associated with the process of implementation of interventions in routine care. The implementation of the knowledge application program with a population health perspective is consistent with the priorities set forth in the current mental health care reform in Quebec. Strengthening primary mental health care will lead to a more efficient health care system.
机译：背景技术焦虑和抑郁症日益被认为是卫生保健政策的重点。缩小常见精神障碍的治疗差距需要提高初级精神卫生保健的质量。我们开发了一个知识应用程序，旨在改善加拿大魁北克社区初级心理保健团队的焦虑症和抑郁症的组织和提供。该研究的主要目标是：实施和评估基于证据的知识应用程序;检查与选择当地质量改进策略相关的背景因素;探索与实施当地质量改进计划相关的障碍和促进者;并研究当地质量监测策略的实施情况。方法：研究设计是一种混合方法的前瞻性多案例研究。主要分析单位（案例）由六个基于跨学科社区的初级精神卫生保健小组组成，每个案例都确定了至少一个有兴趣与实施项目合作的初级保健诊所。该计划的培训模块基于“慢性护理模型”，并且根据《卫生服务研究实施促进行动》概念框架制定了实施策略。讨论实施针对初级保健中焦虑和抑郁的循证知识应用程序，旨在改善精神卫生服务的组织和提供。为改善初级保健中常见精神障碍的护理质量而获取证据是一个复杂的过程，需要仔细考虑引入创新的背景。该项目将仔细研究证据，背景和便利之间的相互作用，并有助于理解与常规护理干预措施实施过程相关的因素。从人口健康角度执行知识应用程序与魁北克当前精神卫生保健改革中提出的优先事项相一致。加强初级精神卫生保健将导致更有效的卫生保健系统。

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