Common ground: A framework for selecting core quality measures for mental health and substance abuse care
Common ground: A framework for selecting core quality measures for mental health and substance abuse care
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DOI：
10.1176/appi.ps.53.3.281
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发表时间：
2002-03-01
影响因子：
3.8
通讯作者：
Palmer, RH
中科院分区：
文献类型：
--
作者：
Hermann, RC;Palmer, RH
在整个精神卫生系统中，人们对常规质量评估普遍感兴趣，以促进质量改进，监督，购买和消费者选择。在没有就有限数量的有意义和可行的质量措施达成一致的情况下，交付系统、付款人、管理式医疗机构、监管机构和认证机构都实施了独特的措施和规范。由此造成的各种措施之间的差异增加了提供者的负担，限制了结果的可比性，阻碍了将有限资源集中用于进一步制定最有希望的措施的努力。政策制定者已开始努力促使利益攸关方就一套共同使用的核心措施达成共识，但取得进展的障碍仍然存在，包括利益攸关方需求的差异以及优先考虑措施的理想属性与广泛代表精神卫生系统之间的权衡。作者提出了一个框架，选择一套核心的措施，澄清不同的观点，并提出建议，进一步发展的核心质量措施，精神卫生保健。
There is widespread interest throughout the mental health system in routine quality assessment to facilitate quality improvement, oversight, purchasing, and consumer choice. In the absence of agreement on a limited number of meaningful and feasible quality measures, delivery systems, payers, managed care organizations, regulators, and accreditors have each implemented unique measures and specifications. The resulting heterogeneity among measures has increased the burden on providers, limited the comparability of results, and hindered efforts to focus limited resources on further development of the most promising measures. Policy makers have initiated efforts for stakeholders to reach consensus on a core set of measures for common use, but barriers to progress remain, including differences in stakeholder needs and trade-offs between prioritizing desirable attributes of measures and representing the mental health system broadly. The authors present a framework for the selection of a core set of measures, clarify divergent perspectives, and make recommendations for further development of core quality measures for mental health care.