The use of routine outcome measures in two child and adolescent mental health services: a completed audit cycle.
The use of routine outcome measures in two child and adolescent mental health services: a completed audit cycle.
复制标题
在两个儿童和青少年心理健康服务中使用常规结局指标：完整的审计周期。
DOI：
10.1186/1471-244x-13-270
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发表时间：
2013-10-20
期刊：
影响因子：
4.4
通讯作者：
Hollis C
中科院分区：
文献类型：
--
作者：
Hall CL;Moldavsky M;Baldwin L;Marriott M;Newell K;Taylor J;Sayal K;Hollis C
常规结果测量（ROM）对于评估卫生服务的临床有效性和监测患者结果非常重要。在英国的儿童和青少年心理健康服务（CAMHS）中，ROM在CAMHS中的采用得到了国家和地方举措（如政府战略，地方委托政策和研究）的支持。为了评估这些政策和举措如何影响ROM在两个不同的CAMHS中的吸收，我们报告了两个案例说明审计的结果：2011年1月进行的基线审计和两年后在2012年12月至2013年2月进行的重新审计。研究结果显示，从最初审计时开始，单次和重复使用结局指标的情况有所增加，重复使用（基线和随访）儿童和青少年国家健康结局量表（HoNOSCA）量表的情况从10%增加到50%。经重新审计的个案说明更多地结合使用不同的成果衡量标准，并就使用何种衡量标准达成了更大的共识。适用于各种临床条件的结局指标比特定于临床的指标更有可能被使用，并且由临床医生完成的指标比由服务用户完成的指标更常见。研究结果表明，在使用CAMHS的结果的措施有很大的改善。不同的服务机构都发现了这些使用量的增加，这些机构受到不同类型的当地服务优先事项和驱动因素的影响。
Routine outcome measurement (ROM) is important for assessing the clinical effectiveness of health services and for monitoring patient outcomes. Within Child and Adolescent Mental Health Services (CAMHS) in the UK the adoption of ROM in CAMHS has been supported by both national and local initiatives (such as government strategies, local commissioning policy, and research). With the aim of assessing how these policies and initiatives may have influenced the uptake of ROM within two different CAMHS we report the findings of two case-note audits: a baseline audit conducted in January 2011 and a re-audit conducted two years later in December 2012-February 2013. The findings show an increase in both the single and repeated use of outcome measures from the time of the original audit, with repeated use (baseline and follow-up) of the Health of the Nation Outcome Scale for Children and Adolescents (HoNOSCA) scale increasing from 10% to 50% of cases. Re-audited case-notes contained more combined use of different outcome measures, with greater consensus on which measures to use. Outcome measures that were applicable across a wide range of clinical conditions were more likely to be used than symptom-specific measures, and measures that were completed by the clinician were found more often than measures completed by the service user. The findings show a substantial improvement in the use of outcome measures within CAMHS. These increases in use were found across different service organisations which were subject to different types of local service priorities and drivers.