Getting better at getting them better: Health outcomes and evidence-based practice within a system of care
Getting better at getting them better: Health outcomes and evidence-based practice within a system of care
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DOI：
10.1097/01.chi.0000215154.07142.63
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发表时间：
2006-06-01
影响因子：
13.3
通讯作者：
Brogan, Mary
中科院分区：
文献类型：
--
作者：
Daleiden, Eric L.;Chorpita, Bruce F.;Brogan, Mary
在过去的10年里，夏威夷为儿童和青少年提供的公共精神卫生服务经历了重大的体制改革。卫生部儿童和青少年精神健康司(CAMHD)战略计划的五个当前目标是共享所有权、负责任的业务做法、护理系统原则、循证做法和绩效评估。夏威夷实施了一项多样化和影响深远的循证服务倡议，其中纳入了各种质量改进活动。该倡议可以大致描述为一种双管齐下的战略：第一，建立具体的经验支持的计划，第二，追求循证理想对当前护理的渐进改进。夏威夷青少年护理系统的评估程序多年来一直在发展，因此没有长期、经过充分验证的儿童和系统状况衡量标准，清楚地描绘出转变的过程。然而，每个改革时代的进步信息都可能具有启发性。各种定性和定量的证据表明，夏威夷的青少年护理系统在过去十年中有了显著的改善。在此期间，实施了许多系统重组和质量改进活动。(保留所有权利。)
During the past 10 years, public mental health services for children and youths in Hawaii experienced a major system restructuring. The five current goals of the Department of Health Child and Adolescent Mental Health Division (CAMHD) strategic plan are shared ownership, accountable business practices, system of care principles, evidence-based practices, and performance evaluation. Hawaii has implemented a diverse and far-reaching evidence-based services initiative that incorporates a wide variety of quality improvement activities. The initiative may be broadly characterized as a two-pronged strategy: first, building specific empirically supported programs and second, pursuing incremental improvement of current care toward evidence-based ideals. Procedures for evaluating the Hawaii system of care for youths have evolved over the years, so long-term, well-validated child and system status measures that clearly map the course of the transformation are not available. Nevertheless, progressive information from each of the reform eras can be illuminating. A variety of qualitative and quantitative evidence indicates that the Hawaii system of care for youths has improved dramatically during the past decade. Numerous system restructuring and quality improvement activities were implemented during this period.(PsycINFO Database Record (c) 2019 APA, all rights reserved)