背景:基于远程医疗的干预措施在解决农村人口的心理健康问题方面显示出希望,然而,在这些情况下,关于它们对卫生保健人员的影响的证据仍然有限.
目的:这项研究旨在评估在秘鲁农村地区工作的新近毕业的医生的特征,反应和看法,作为ServicioRuralUrbanoMarginalenSalud的一部分(城乡边缘卫生服务[SERUMS],西班牙语)迈向远程健康干预,以在心理健康中提供远程定位和伴奏。
方法:在2022年8月至2023年2月期间,由毕业于圣马科斯国立市长大学并参加心理健康伴随计划(MHAP)的医生进行了一项混合方法研究。该计划包括通过在线表格评估精神健康状况,通过网站传播信息材料,and,对于那些有中等或高度精神健康问题的人,由训练有素的人员提供个性化的后续行动。定量分析探讨了医生中发现的心理健康问题,在定性分析的同时,使用半结构化面试,检查了他们对所提供服务的看法。
结果:在最初加入MHAP的75名医生中,30人(41.6%)选择接受评估和使用服务。参与者的平均年龄为26.8(SD1.9)岁,其中17人(56.7%)为女性。约有11人(36.7%)报告有当前或以前的精神健康问题,17(56.7%)表明一定程度的抑郁,14人(46.7%)表示有一定程度的焦虑,5(16.6%)存在自杀风险,在该计划中,有2人(6.7%)企图自杀。未使用该计划服务的医师报告缺乏广告和相关信息,依赖个人心理健康资源,或忽视症状。那些使用该程序的人对服务表示了积极的看法,包括评估和后续行动,尽管有些人面临访问网站的挑战。
结论:MHAP在秘鲁农村地区的血清医生中有效识别和管理心理健康问题,尽管它面临着与获取和参与有关的挑战。强调了心理健康干预在这方面的重要性,建议改善参与者的可及性并促进参与者的自我保健。
BACKGROUND: Telemedicine-based interventions show promise in addressing mental health issues among rural populations, yet evidence regarding their impact among the health care workforce in these contexts remains limited.
OBJECTIVE: This
study aimed to evaluate the characteristics and the responses and perceptions of recently graduated physicians who work in rural areas of Peru as part of the Servicio Rural Urbano Marginal en Salud (Rural-Urban Marginal Health Service [SERUMS], in Spanish) toward a telehealth intervention to provide remote orientation and accompaniment in mental health.
METHODS: A mixed methods
study was carried out involving physicians who graduated from the Universidad Nacional Mayor de San Marcos and participated in the Mental Health Accompaniment Program (MHAP) from August 2022 to February 2023. This program included the assessment of mental health conditions via online forms, the dissemination of informational materials through a website, and, for those with moderate or high levels of mental health issues, the provision of personalized follow-up by trained personnel. Quantitative analysis explored the mental health issues identified among physicians, while qualitative analysis, using semistructured interviews, examined their perceptions of the services provided.
RESULTS: Of 75 physicians initially enrolled to the MHAP, 30 (41.6%) opted to undergo assessment and use the services. The average age of the participants was 26.8 (SD 1.9) years, with 17 (56.7%) being female. About 11 (36.7%) reported have current or previous mental health issues, 17 (56.7%) indicating some level of depression, 14 (46.7%) indicated some level of anxiety, 5 (16.6%) presenting a suicidal risk, and 2 (6.7%) attempted suicide during the program. Physicians who did not use the program services reported a lack of advertising and related information, reliance on personal mental health resources, or neglect of symptoms. Those who used the program expressed a positive perception regarding the services, including evaluation and follow-up, although some faced challenges accessing the website.
CONCLUSIONS: The MHAP has been effective in identifying and managing mental health problems among SERUMS physicians in rural Peru, although it faced challenges related to access and participation. The importance of mental health interventions in this context is highlighted, with recommendations to improve accessibility and promote self-care among participants.