Variation in Stakeholder Preferences for Implementing Evidence-Based Practices in Behavioral Health Care.
Variation in Stakeholder Preferences for Implementing Evidence-Based Practices in Behavioral Health Care.
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DOI：
10.1176/appi.ps.202100453
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发表时间：
2022-11-01
影响因子：
3.8
通讯作者：
Stewart, Rebecca E.
中科院分区：
文献类型：
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作者：
Candon, Molly;Williams, Nathaniel;Zentgraf, Kelly;Buttenheim, Alison;Bewtra, Meenakshi;Beidas, Rinad S.;Stewart, Rebecca E.
本研究探讨了是否偏好的实施策略，可以支持实施循证实践的行为卫生保健不同的利益相关者群体。使用费城医疗补助的行为医疗保健系统的利益相关者的最佳-最差缩放选择实验期间收集的数据，本研究比较了四组实施策略的经验贝叶斯偏好权重：临床医生，主管，机构高管和付款人。在执行战略的优先选择方面存在着大量的重叠。利益攸关方团体一致认为，在实施循证做法方面，财政奖励是“最有用”的办法，业绩反馈是“最没用”的办法。然而，存在着明显的分歧。例如，付款人更喜欢提供循证实践的补偿，而临床医生将循证实践的准备时间补偿列为同样有用。利益相关者对实施策略的偏好的变化可能会揭示为什么行为医疗保健从数量到价值的持续转变产生了混合效应。
This study examined whether preferences for implementation strategies that could support the implementation of evidence-based practices in behavioral health care differ across stakeholder groups. Using data collected during a best-worst scaling choice experiment of stakeholders in Philadelphia Medicaid’s behavioral health care system, this study compared empirical Bayes preference weights for implementation strategies across four groups: clinicians, supervisors, agency executives, and payers. There was substantial overlap in preferences for implementation strategies. Stakeholder groups consistently ranked financial incentives as the “most useful” approach and performance feedback as the “least useful” approach to implementing evidence-based practices. However, there were notable areas of divergence. For example, payers preferred compensation for the delivery of evidence-based practices, while clinicians ranked compensation for preparation time for evidence-based practices as equally useful. Variation in stakeholder preferences for implementation strategies may shed light on why the ongoing shift from volume to value in behavioral health care has had mixed effects.
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社区利益相关者对行为健康中基于证据的实践实施策略的偏好：最佳缩放选择实验。
影响因子：
4.4
作者：
Williams NJ;Candon M;Stewart RE;Byeon YV;Bewtra M;Buttenheim AM;Zentgraf K;Comeau C;Shoyinka S;Beidas RS
通讯作者：
Beidas RS
影响因子：
7.2
作者：
Stewart, Rebecca E.;Williams, Nathaniel;Beidas, Rinad S.
通讯作者：
Beidas, Rinad S.
DOI：
10.1007/s10488-020-01052-z
发表时间：
2021-01
期刊：
Administration and policy in mental health
影响因子：
--
作者：
Stewart RE;Beidas RS;Last BS;Hoskins K;Byeon YV;Williams NJ;Buttenheim AM
通讯作者：
Buttenheim AM
影响因子：
3.8
作者：
Ringle, Vanesa A.;Read, Kendra L.;Beidas, Rinad S.
通讯作者：
Beidas, Rinad S.
影响因子：
12.7
作者：
Aarons, Gregory A.;Wells, Rebecca S.;Palinkas, Lawrence A.
通讯作者：
Palinkas, Lawrence A.