Beyond outcomes monitoring: measurement feedback systems in child and adolescent clinical practice.

Beyond outcomes monitoring: measurement feedback systems in child and adolescent clinical practice.
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DOI:
10.1097/yco.0b013e32832c9162
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发表时间:
2009-07
影响因子:
6.9
通讯作者:
Bickman L
Bickman L
中科院分区:
医学2区
文献类型:
--
作者:
Kelley SD;Bickman L

文献摘要

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审查过去一年出版的有关文献,以确定监测儿童和青少年服务对象及其家庭治疗进展的最佳措施。目前的文献表明,越来越多的关注在测量发展的临床效用,正如最近对循证评估的强调所证明的那样。然而,关于纳入监测如何能够改善临床医生实践并最终改善青年和家庭结果的研究很少。将我们的思维领域从单纯的结果测量扩展到提供全面和与治疗同时进行的及时反馈的测量反馈系统(MFS)是很有希望的。需要对MFSS的开发进行投资,以提高临床判断力和治疗效果。临床效用和消费者吸引力需要是日常临床实践中打算使用的措施的关键考虑因素。最重要的是,我们必须利用技术的力量和测量方面的进步,为临床医生提供工具,以便有效地使用通过MFSS频繁测量提供的系统数据。
To review literature published during the past year relevant to identifying the best measures for monitoring progress in the treatment child and adolescent clients and their families. The current literature shows an increasing focus on clinical utility in measure development as demonstrated by the recent emphasis on evidence based assessment. However, there is very little research on how the inclusion of monitoring might enhance clinician practice and ultimately youth and family outcomes. There is great promise in expanding our field of thinking beyond mere outcome measurement to a Measurement Feedback System (MFS) that provides timely feedback that is comprehensive and concurrent with treatment. Investment in the development of MFSs is needed to enhance clinical judgment and increase effectiveness of treatment. Clinical utility and consumer appeal need to be key considerations for measures intended to be used in everyday clinical practice. Most importantly, we must harness the power of technology and advances in measurement to provide clinicians with the tools to use effectively the systematic data provided through frequent measurement with MFSs.