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首页> 外文期刊>Progress in community health partnerships: research, education, and action >Partnership for implementation of evidence-based mental health practices in rural federally qualified health centers: theory and methods.
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Partnership for implementation of evidence-based mental health practices in rural federally qualified health centers: theory and methods.

机译：在具有联邦政府资格的农村卫生中心实施循证精神卫生实践的伙伴关系：理论和方法。

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Mental health and substance abuse are among the most commonly reported reasons for visits to Federally Qualified Health Centers (CHCs), yet only 6.5% of encounters are with on-site behavioral health specialists. Rural CHCs are significantly less likely to have on-site behavioral specialists than urban CHCs. Because of this lack of mental health specialists in rural areas, the most promising approach to improving mental health outcomes is to help rural primary care (PC) providers deliver evidence-based practices (EBPs). Despite the scope of these problems, no research has developed an effective implementation strategy for facilitating the adoption of mental health EBPs for rural CHCs. We sought to describe the conceptual components of an implementation partnership that focuses on the adaption and adoption of mental health EBPs by rural CHCs in Arkansas.We present a conceptual model that integrates seven separate frameworks: (1) Jones and Wells' Evidence-Based Community Partnership Model, (2) Kitson's Promoting Action on Research Implementation in Health Services (PARiHS) implementation framework, (3) Sackett's definition of evidence-based medicine, (4) Glisson's organizational social context model, (5) Rubenstein's Evidence-Based Quality Improvement (EBQI) facilitation process, (6) Glasgow's RE-AIM evaluation approach, and (7) Naylor's concept of shared decision making.By integrating these frameworks into a meaningful conceptual model, we hope to develop a successful implementation partnership between an academic health center and small rural CHCs to improve mental health outcomes. Findings from this implementation partnership should have relevance to hundreds of clinics and millions of patients, and could help promote the sustained adoption of EBPs across rural America.
机译：心理健康和药物滥用是访问联邦合格健康中心（CHC）的最常见的原因之一，但只有6.5％的遭遇是与现场行为健康专家一起进行的。与城市社区卫生中心相比，农村社区卫生中心拥有现场行为专家的可能性大大降低。由于农村地区缺少心理健康专家，因此改善精神健康结果的最有前途的方法是帮助农村初级保健（PC）提供者提供循证实践（EBP）。尽管存在这些问题的范围，但尚无研究开发有效的实施策略来促进农村社区卫生保健中心采用心理健康EBP。我们试图描述一种实施伙伴关系的概念组成部分，该伙伴关系侧重于阿肯色州农村社区卫生中心对心理健康EBP的适应和采用，我们提出了一个概念模型，该模型整合了七个独立的框架：（1）琼斯和威尔斯的循证社区伙伴关系模型，（2）基特森对卫生服务研究实施的促进行动（PARiHS）实施框架，（3）萨克特对循证医学的定义，（4）格里森的组织社会环境模型，（5）鲁宾斯坦基于证据的质量改进（EBQI）简化流程，（6）格拉斯哥的RE-AIM评估方法和（7）Naylor的共享决策概念。通过将这些框架整合到有意义的概念模型中，我们希望在学术健康中心之间建立成功的实施合作伙伴关系以及农村小型社区卫生中心，以改善心理健康状况。从这种实施伙伴关系中获得的发现应该与数百家诊所和数百万患者相关，并且可以帮助促进EBP在整个美国农村地区的持续采用。

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