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首页> 外文期刊>London Journal of Primary Care >Improving patient and project outcomes using interorganisational innovation, collaboration and co-design
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Improving patient and project outcomes using interorganisational innovation, collaboration and co-design

机译：通过组织间的创新，协作和共同设计来改善患者和项目的成果

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Background Common mental disorders (CMDs) are a leading cause of disability. The Department of Health has launched a large-scale initiative to improve access to evidence-based psychological treatments, such as cognitive behavioural therapy (CBT), through the Improving Access to Psychological Therapy (IAPT) programme. Access to IAPT services by black and minority ethnic (BME) communities is lower than for other groups.Setting The London Borough of Ealing in west London; a diverse borough with areas of high BME population and relatively high deprivation.Aim To compare the outcomes of two linked quality improvement (QI) projects undertaken by Ealing Mental Health and Wellbeing Service (MHWBS), both with the same aim of increasing access to talking therapies for BME communities.Methods Application of QI methodologies supported by the NIHR CLAHRC for northwest London in two different settings in Ealing. One, the ‘Southall project’, was set within a wider initiative for collaborative improvements and shared learning (the Southall Initiative for Integrated Care) in an ethnically diverse area of Ealing; it was undertaken between April 2010 and September 2011. The second, ‘the Ealing project’, operated in the two other Ealing localities that did not have the advantage of a broader initiative for collaborative improvements; it was undertaken between April 2011 and September 2012.Results Comparison of the monthly referral rates of BME patients (standardised per 10 000 general practitioner (GP)-registered patients) show that the Southall project was more effective in increasing referrals from BME communities than the Ealing project.Conclusion Broad local participation and ownership in the project design of the Southall project may explain why it was more effective in achieving its aims than the Ealing project which lacked these ownership-creating mechanisms.
机译：背景常见精神障碍（CMD）是导致残疾的主要原因。卫生部发起了一项大规模计划，通过改善获得心理治疗（IAPT）计划来改善获得基于证据的心理治疗的机会，例如认知行为疗法（CBT）。黑人和少数族裔（BME）社区获得IAPT服务的机会低于其他群体。目的比较Ealing心理健康与福利服务（MHWBS）开展的两个相关质量改进（QI）项目的结果，两者的目的均相同，目的是增加交谈机会方法由NIHR CLAHRC支持的QI方法在伦敦Ealing的两个不同环境中在伦敦西北部的应用。其中一项名为“ Southall项目”，是在伊灵族各族裔地区开展的一项旨在改善合作和共享学习的广泛倡议（“ Southall综合护理倡议”）中提出的;它是在2010年4月至2011年9月之间进行的。第二个“ Ealing项目”在其他两个Ealing地区开展，这些地区没有采取更广泛的协作改进计划的优势;结果于2011年4月至2012年9月间进行。结果BME患者每月转诊率（按每万名全科医生（GP）注册患者标准化）的比较显示，Southall项目比BME社区在增加BME社区转诊方面更为有效。 Ealing项目。结论结论Southall项目的项目设计中广泛的本地参与和所有权可以解释为什么它比缺少这些所有权创建机制的Ealing项目更有效地实现其目标。

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