Quality indicators of children's mental health services: Do they predict improved client outcomes?
Quality indicators of children's mental health services: Do they predict improved client outcomes?
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DOI：
10.1177/106342660000800102
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发表时间：
2000-03-01
影响因子：
1.9
通讯作者：
Bickman, L
中科院分区：
文献类型：
--
作者：
Noser, K;Bickman, L
高质量服务的示范已超越成本控制，成为保健的首要任务。在这项研究中，我们评估了几个传统上接受的儿童心理健康护理质量标准和客户端的心理健康结果之间的关系。三个习惯的性能指南（治疗关系，满意度和家长参与），被认为是高质量的护理指标进行了测试，他们的能力，以改善青少年客户的心理健康结果。此外，我们还研究了服务利用率，以确定它是否代表治疗过程的中间结果。结果显示，统计学显着，但薄弱和不一致的，这些普遍接受的质量和客户端的青少年接受门诊治疗的结果的措施之间的关系。我们没有发现服务利用率是一个中介。研究的局限性和影响的结果进行了讨论。
Demonstrations of high-quality services have surpassed cost control as the primary task of health care. In this study we evaluated the relationship between several traditionally accepted standards of quality of children's mental health care and client mental health outcomes. Three customary performance guidelines (therapeutic relationship, satisfaction, and parent involvement) that are believed to be indicators of quality care were tested for their ability to account for improvement of mental health outcomes among adolescent clients. In addition, we examined service utilization to determine whether it represents an intermediate outcome of the treatment process. The results showed statistically significant, yet weak and inconsistent, relationships between these commonly accepted measures of quality and client outcomes among adolescents receiving outpatient treatment. We did not find service utilization to be a mediator. Limitations of the study and implications of the results are discussed.