关键词: health services mental health psychiatry quality in health care

Mesh : Humans Quality Improvement Mental Health Services / standards organization & administration Research Design Mental Disorders / therapy Mental Health Systematic Reviews as Topic

来  源:   DOI:10.1136/bmjopen-2023-083753   PDF(Pubmed)

Abstract:
BACKGROUND: Mental health concerns globally impact millions of people, resulting in significant financial impact and adverse health outcomes. People living with mental health concerns are at higher risk of developing physical health issues, which can lead to a shortened life expectancy. Barriers to physical healthcare, such as limited service capacity, low help seeking and stigma, contribute to health disadvantage. Quality improvement (QI) interventions can address these challenges by addressing staff-level and service-level factors to improve the focus on physical healthcare in mental health settings. The aim of this scoping review is to describe studies of QI interventions to improve physical healthcare in mental health settings.
METHODS: The proposed scoping review will be conducted in accordance with guidance for scoping reviews from the Joanna Briggs Institute Manual and in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. A systematic review search for peer-reviewed and published articles will be conducted across eight databases: PubMed, MEDLINE (Ovid), Web of Science, CINAHL (EBSCOhost), ProQuest Central, PsycINFO (Ovid), Scopus and Embase (Elsevier). Two independent reviewers will screen the titles, abstracts and full text using Covidence. Any disagreement will be resolved through discussion or with a third reviewer. Data collection will be facilitated using Microsoft Excel. The details of included studies will be extracted by two authors independently.
BACKGROUND: No ethical approval is required for the scoping review. The results of this review will be presented at conferences and published in a peer-reviewed scientific journal. This review will also inform the development of a QI strategy to influence mental health staff practices in the provision of physical healthcare in Australian mental health settings.
摘要:
背景:心理健康问题影响全球数百万人,导致重大的财务影响和不良的健康结果。患有精神健康问题的人患身体健康问题的风险更高,这会导致预期寿命缩短。物理医疗保健的障碍,例如有限的服务能力,低帮助寻求和耻辱,对健康不利。质量改进(QI)干预措施可以通过解决员工级别和服务水平因素来解决这些挑战,以改善心理健康环境中对身体保健的关注。本范围审查的目的是描述QI干预措施的研究,以改善心理健康环境中的身体保健。
方法:拟议的范围界定审查将根据JoannaBriggs研究所手册的范围界定审查指南进行,并符合系统审查的首选报告项目和范围审查的荟萃分析扩展。将在八个数据库中对同行评审和发表的文章进行系统的审查搜索:PubMed,MEDLINE(Ovid),WebofScience,CINAHL(EBSCOhost),ProQuestCentral,PsycINFO(Ovid),Scopus和Embase(Elsevier)。两名独立的审稿人将筛选标题,摘要和全文使用Covidence。任何分歧将通过讨论或与第三审稿人解决。将使用MicrosoftExcel促进数据收集。纳入研究的细节将由两位作者独立提取。
背景:范围审查不需要道德批准。这项审查的结果将在会议上发表,并发表在同行评审的科学期刊上。这项审查还将为制定QI战略提供信息,以影响心理健康人员在澳大利亚心理健康环境中提供身体保健的做法。
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