Clinical improvement associated with conformance to HEDIS-based depression care.
Clinical improvement associated with conformance to HEDIS-based depression care.
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DOI：
10.1007/s11020-005-3781-1
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发表时间：
2005-06-01
期刊：
影响因子：
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通讯作者：
Hermann, Richard C
中科院分区：
文献类型：
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作者：
Rost, Kathryn;Dickinson, L Miriam;Hermann, Richard C
背景：雇主最近要求提供抑郁症治疗质量的有效衡量标准。这样的指标需要衡量有需要的人群中接受高质量护理的比例，并预测临床改善。方法：我们根据抗抑郁药物管理的 HEDIS 标准构建了一个管理数据库指标，并在 5 个健康计划的 230 名就业患者中进行了测试。结果：有需要的人群中的指标率为 7.0%。该人群中符合指标标准与一年内抑郁严重程度改善 23.0% 相关 (p = .02)。结论：预测临床改善的管理数据库指标是一项非常罕见的成就。现有的抑郁指数可能需要针对有需要的人群进行计算，以便为雇主购买者提供有效的衡量标准。
BACKGROUND: Employers recently requested a valid metric of depression treatment quality. Such an indicator needs to measure the proportion of the population in need who receive high-quality care, and to predict clinical improvement.METHODS: We constructed an administrative database indicator derived from HEDIS criteria for antidepressant medication management, and tested it in 230 employed patients in five health plans.RESULTS: Indicator rates were 7.0% in the population in need. Conformance to indicator criteria in this population was associated with 23.0% improvement in depression severity over 1 year (p = .02).CONCLUSIONS: Administrative database indicators that predict clinical improvement are a very rare accomplishment. Existing depression indicators may need to be calculated for the population in need to provide a valid metric for employer purchasers.