Challenges and opportunities in measuring the quality of mental health care.

Challenges and opportunities in measuring the quality of mental health care.
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DOI:
10.1177/070674371005500903
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发表时间:
2010-09
期刊:
Canadian journal of psychiatry. Revue canadienne de psychiatrie
影响因子:
--
通讯作者:
Pincus HA
Pincus HA
中科院分区:
其他
文献类型:
--
作者:
Kilbourne AM;Keyser D;Pincus HA

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本文的目的是描述心理健康质量测量的障碍,并确定战略,以加强心理健康提供者,计划,付款人和其他利益相关者在改善个人的心理健康和物质使用障碍的结果服务的质量措施的开发和使用。心理健康绩效测量滞后的主要原因包括缺乏适当的心理健康护理的充分证据,质量措施定义不清,现有临床数据对心理健康服务的描述有限,以及缺乏相关的电子健康信息。我们讨论了克服这些障碍,正在实施的战略,在几个国家,包括需要有质量改进的一部分,标准的临床培训课程,完善的技术,以促进充分的数据采集的精神卫生服务,使用激励措施,以促进提供者的责任,改善护理,需要精神卫生研究人员,以提高证据基础的精神卫生治疗。
The purpose of this paper is to delineate the barriers to mental health quality measurement, and identify strategies to enhance the development and use of quality measures by mental health providers, programs, payers, and other stakeholders in the service of improving outcomes for individuals with mental health and substance use disorders. Key reasons for the lag in mental health performance measurement include lack of sufficient evidence regarding appropriate mental health care, poorly defined quality measures, limited descriptions of mental health services from existing clinical data, and lack of linked electronic health information. We discuss strategies for overcoming these barriers that are being implemented in several countries, including the need to have quality improvement as part of standard clinical training curricula, refinement of technologies to promote adequate data capture of mental health services, use of incentives to promote provider accountability for improving care, and the need for mental health researchers to improve the evidence base for mental health treatment.
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