WHO/NIH JOINT PROJECT ON THE ASSESSMENT OF DISABLEMENT

世界卫生组织/美国国立卫生研究院残疾评估联合项目

• 批准号: 2740170
• 负责人: BEDIRHAN USTUN
• 金额: $ 53.58万
• 依托单位: WORLD HEALTH ORGANIZATION
• 依托单位国家: 美国
• 财政年份: 1985
• 资助国家: 美国
• 起止时间: 1985-07-01 至 2001-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2740170
• 关键词: World Health Organization; alcoholism /alcohol abuse; clinical research; cooperative study; culture; diagnosis design /evaluation; diagnosis quality /standard; disabling disease; disease /disorder classification; drug abuse; health care cost /financing; health care service evaluation; health care service utilization; human data; human subject; international cooperation; interview; literature survey; mental disorder diagnosis; mental disorders; mental health epidemiology; mental health services; neuropsychological tests; person with disability; psychometrics

The disablements (impairments, disabilities and handicaps) which result from alcohol and drug use and mental (ADM) disorders are a major public health problem. They are of increasing concern because of their impact on health services. Diagnosis alone does not provide sufficient understanding of the need for mental health care. Assessment and classification of disablements provides an important additional dimension for understanding the health care needs, provision and outcomes. At present researchers and policy-makers are hampered in their ability to make accurate assessments of the form and frequency of such disablements, to develop projections of future health care needs and costs, and to evaluate and monitor management, treatment and outcomes. These difficulties stem from the absence of standardized methods for the assessment and classification of these disablements. The primary purpose of this proposal is to develop a comprehensive system for assessment of disablements resulting from ADM disorders. This proposal is a continuation of the WHO/NIH Joint project which has provided an international common language for psychiatric diagnosis and developed diagnostic instruments for ADM disorders in accordance with international classifications. The current term will focus on the disablements resulting from ADM disorders. The current proposal will also complete work and continue the coordination of research for international diagnostic instruments. Specific aim 1 is to develop two instruments for the assessment of disablements, one for use in clinical settings and one for use in health care research. Cross-cultural definitions and methods of assessing disablements will be reviewed and will be used as the basis for developing instruments. The instruments will be reviewed and pilot tested at international collaborating centres and the revised instruments will be tested in focused field tests. Two pilot studies will be designed for health services research utilizing the disablement assessment instruments. The first study will focus on the ability of the instruments to predict service need. The second study will examine the ability of the disablement assessment instruments to predict health service utilization and cost. Specific aim 2 is continue work related to the diagnostic instruments, including further analysis and publication of the reliability and validity study data for alcohol and drug use disorders, and prepare a critical review of the diagnostic instruments produced by the Joint Project to develop a research strategy addressing assessment of severity, course and comorbidity.

造成的残疾（损伤、残疾和障碍） 来自酒精和药物使用和精神障碍（ADM）是一个主要的公众 健康问题。 由于其对环境的影响， 保健服务 仅仅诊断并不能提供足够的理解 精神健康护理的需求。 评估和分类 残疾问题为理解残疾问题提供了一个重要的额外层面， 卫生保健需求、提供和结果。 目前，研究人员和 政策制定者在准确评估 这类残疾的形式和频率， 未来的医疗保健需求和成本，并评估和监测管理， 治疗和结果。 这些困难源于缺乏 评估和分类的标准化方法 残疾。 本提案的主要目的是制定一项 由ADM导致残疾的综合评估系统 紊乱 该提案是WHO/NIH联合项目的延续 它为精神病学提供了一种国际通用语言 ADM疾病的诊断和开发的诊断仪器， 按照国际分类。 本学期将重点 ADM失调导致的残疾 现时的建议 还将完成工作，并继续协调研究， 国际诊断仪器。 具体目标1是开发两种工具， 一种用于临床环境，一种用于保健 护理研究。 跨文化定义和评估方法 将对残疾问题进行审查，并将其作为制定 仪器. 这些工具将在 国际合作中心和经修订的文书将 在集中的实地测试中进行了测试。 将设计两项试点研究， 利用残疾评估工具进行卫生服务研究。 第一项研究将集中在仪器预测的能力， 服务需求。 第二项研究将检查残疾人的能力， 评估工具，以预测卫生服务的利用和成本。 具体目标2是继续开展与诊断仪器有关的工作， 包括进一步分析和发表信度和效度 研究酒精和药物使用障碍的数据，并准备一个关键的 审查联合项目生产的诊断仪器， 制定一项研究战略，解决严重程度、过程和 科摩罗。