Clinicians and outcome measurement: What's the use?
Clinicians and outcome measurement: What's the use?
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DOI：
10.1007/bf02287427
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发表时间：
2003-10-01
影响因子：
1.9
通讯作者：
Aarons, GA
中科院分区：
文献类型：
--
作者：
Garland, AF;Kruse, M;Aarons, GA
本研究的目的是了解更多关于临床医生的经验，效用的有效性和可行性的标准化结果的措施在实践中的看法。从一个大型儿童公共精神卫生服务系统的多个学科和多个服务机构随机选择50名临床医生进行了单独访谈（n = 30）或焦点小组（n = 20）使用半结构化访谈。临床医生对经验性治疗评价方法的态度存在很大差异。对于管理标准化措施的可行性挑战，包括时间负担和识字障碍，达成了共识。尽管所有参与者都收到了他们客户的评分评估资料，但绝大多数人报告说，他们没有在治疗计划或监测中使用评分。他们的建议，改善临床效用的结果测量。随着越来越多的关注和资源投入到性能结果评估，它是令人关注的是，大多数临床医生认为很少的临床效用的结果测量。
The goal of this study was to learn more about clinicians' experiences with, and perceptions of the utility validity, and feasibility of standardized outcome measures in practice. Fifty randomly selected clinicians from multiple disciplines and multiple service agencies in a large children's public mental health service system were interviewed individually (n = 30) or in focus groups (n = 20) using semistructured interviews. There was great variability across clinicians in attitudes about empirical methods of treatment evaluation. There was consensus regarding feasibility challenges of administering standardized measures, including time burden and literacy barriers. Although all participants had received scored assessment profiles for their clients, the vast majority reported that the), did not use the scores in treatment planning or monitoring. Their suggestions for improved clinical utility of outcome measurement are included. With increased attention and resources devoted to performance outcome assessment, it is concerning that most clinicians perceive little clinical utility of outcome measurement.