COMPUTERIZED TREATMENT OUTCOME/PATIENT RECORD FOR MH

该项目与NIMH研究主题#96高度相关 （“开发心理治疗研究技术”）。 微型计算机- 的软件应用程序将开发和现场测试， 门诊心理健康诊所，培训临床医生， 治疗结果研究。 除了提供一个完全 电子病历，该系统将使用户能够定义他们的 自身治疗结果指标（泌尿学、生活质量、客户 满意度等）有多个项目和分量表， 根据用户定义的标准， 标准，并将其纳入临床记录。 灵活的接口 将帮助用户在多个级别上进行决策（例如，个人 病人进展，程序评估，结果的心理测量学特性 措施等） 考试地点将是心理服务中心 在北卡罗来纳州，查佩尔山的大学;主题将是 临床医生和临床实习生。 的可行性 系统将根据用户信息满意度进行衡量， 用户计算满意度，记录完整性，记录可访问性， 和应收账款收款。 研究结果将是 用于计划额外的计划改进，并制定更大的 在不同的诊所类型和地理区域进行现场测试。 拟议的商业应用：该项目将开发一个网络化， 用于结果测量、患者记录和 管理决策。 这将是一个有吸引力的产品， 从业人员，研究人员和主管，因为它的能力， 广泛的多尺度用户定义的治疗结局指标， 提供患者进展和程序功效的图形输出（例如， 用于管理式护理查询），以实现对患者记录的“真实的时间”，以及 监控供应商的活动。

The proposed project is highly relevant to NIMH research topic # 96 ("Developing Technologies for Psychotherapy Research"). A microcomputer- based software application will be developed and field-tested at an outpatient mental health clinic that trains clinicians and conducts treatment outcome research. In addition to providing an entirely electronic patient record, the system will enable users to define their own treatment outcome measures (symptomatology, quality of life, customer satisfaction, etc.) with multiple items and subscales, and will automatically score and interpret these measures against user-defined criteria and include them in the clinical notes. A flexible interface will assist users in decision-making at multiple levels (e.g., individual patient progress, program evaluation, psychometric properties of outcome measures, etc.) The test site will be the Psychological Services Center at the University of North Carolina, Chapel Hill; the subjects will be the clinicians and clinical trainees at the site. The feasibility of the system will be measured in terms of user information satisfaction, end- user computing satisfaction, record completeness, record accessibility, and accounts receivable collections. The results of the study will be used to plan additional program improvements and to formulate a larger field test across different clinic types and geographical areas. PROPOSED COMMERCIAL APPLICATION: The project will develop a networked, computerized system for outcome measurement, patient records, and managerial decision-making. It will be an attractive product to practitioners, researchers and supervisors because of its ability to store a wide range of multiple-scale user-defined treatment outcome measures, to provide graphical output of patient progress and program efficacy (e.g., for managed care inquiries), to enable "real time" to patient records, and to monitor provider activity.