■在许多国家,医疗保健专业人员有法律义务与患者共享电子健康记录中的信息。然而,人们对与青少年分享精神卫生保健笔记提出了担忧,和卫生保健专业人员呼吁建议,以指导这一做法。
目的是在科学论文的作者之间就为卫生保健专业人员提供的建议达成共识,并调查儿童和青少年专业精神卫生保健诊所的工作人员是否同意这些建议。
■与科学论文的作者进行了Delphi研究,以就建议达成共识。提出建议的过程包括三个步骤。首先,通过PubMed检索筛选了符合入选标准的科学论文.第二,对纳入论文的结果进行编码,并在迭代过程中转化为建议.第三,纳入论文的作者被要求提供反馈,并认为他们同意两轮建议的每一个建议.在Delphi过程之后,我们在儿童和青少年心理保健专科诊所的工作人员中进行了一项横断面研究,以评估他们是否同意达成共识的建议.
■在邀请的84位作者中,27回答就精神保健中与青少年数字分享笔记相关领域的17项建议达成共识。这些建议考虑了如何引入数字访问笔记,写笔记,并支持医疗保健专业人员,以及何时保留笔记。在儿童和青少年专业精神保健诊所的41名工作人员中,60%或更多的人同意17条建议。关于青少年应该获得数字访问笔记的年龄以及与父母数字共享笔记的时间,尚未达成共识。
■共有17项建议涉及卫生保健专业人员的关键方面,与青少年在精神卫生保健中的数字笔记共享达成了共识。卫生保健专业人员可以使用这些建议来指导他们与青少年分享精神卫生保健笔记的做法。然而,遵循这些建议的效果和经验应在临床实践中进行测试。
UNASSIGNED: In many countries, health care professionals are legally obliged to share information from electronic health records with patients. However, concerns have been raised regarding the sharing of notes with adolescents in mental health care, and health care professionals have called for recommendations to guide this practice.
UNASSIGNED: The aim was to reach a consensus among authors of scientific papers on recommendations for health care professionals\' digital sharing of notes with adolescents in mental health care and to investigate whether staff at child and adolescent specialist mental health care clinics agreed with the recommendations.
UNASSIGNED: A Delphi study was conducted with authors of scientific papers to reach a consensus on recommendations. The process of making the recommendations involved three steps. First, scientific papers meeting the eligibility criteria were identified through a PubMed search where the references were screened. Second, the results from the included papers were coded and transformed into recommendations in an iterative process. Third, the authors of the included papers were asked to provide feedback and consider their agreement with each of the suggested recommendations in two rounds. After the Delphi process, a cross-sectional study was conducted among staff at specialist child and adolescent mental health care clinics to assess whether they agreed with the recommendations that reached a consensus.
UNASSIGNED: Of the 84 invited authors, 27 responded. A consensus was reached on 17 recommendations on areas related to digital sharing of notes with adolescents in mental health care. The recommendations considered how to introduce digital access to notes, write notes, and support health care professionals, and when to withhold notes. Of the 41 staff members at child and adolescent specialist mental health care clinics, 60% or more agreed with the 17 recommendations. No consensus was reached regarding the age at which adolescents should receive digital access to their notes and the timing of digitally sharing notes with parents.
UNASSIGNED: A total of 17 recommendations related to key aspects of health care professionals\' digital sharing of notes with adolescents in mental health care achieved consensus. Health care professionals can use these recommendations to guide their practice of sharing notes with adolescents in mental health care. However, the effects and experiences of following these recommendations should be tested in clinical practice.