CENTER FOR RESEARCH ON SERVICE FOR SEVERE MENTAL ILLNESS

约翰霍普金斯大学-马里兰州大学严重精神疾病服务研究中心（SMI中心）成立于1987年，是约翰霍普金斯大学卫生与公共卫生学院和医学院以及马里兰州大学精神病学系精神卫生服务研究中心的合作成果。 它与马里兰州卫生和心理卫生部和全国精神病联盟以及提供者和付款人合作。 该中心采用了一个综合主题，“提高护理质量和患者结局”，这将涉及该中心：（a）进一步发展和改进各种方法，使病人的需要与服务更加配合，（B）考虑到各种不同的需要和现有资源，为符合成本和效益标准的护理工作的筹资和组织制订准则，以及（c）测试传播战略，以缩小研究与实践之间的差距。 本中心的具体研究目标是针对四个政策相关领域：（1）制定和评估以证据为基础的重度精神障碍患者服务质量标准，并在证据不足的情况下，评估服务替代方案对患者结局、服务利用和成本的影响;（2）审查筹资机制的作用，以此作为鼓励效率、确保重度精神障碍患者获得适当护理的手段，并为改善患者的治疗结果提供激励;（3）研究管理资源和协调对重度精神障碍患者服务的替代组织系统方法，并评估其对护理质量、利用率、患者结果和成本的影响;（4）评估现行做法与证据之间的差距-基于护理质量标准，评估有希望的传播干预措施的成本和有效性，以提高护理质量和患者结局。在今后五年中，核心支助将能够：（a）加强和扩大与改善护理质量和病人结果有关的研究倡议;（B）开发和测试有效的方法，以传播研究成果，缩小研究成果与重度精神障碍患者接受的护理之间的差距。

The Johns Hopkins-University of Maryland Center for Research on Services for Severe Mental Illness (SMI Center) was established in 1987 as a collaborative effort of the School of Hygiene and Public Health and the School of Medicine of the Johns Hopkins University, and the Center for Mental Health Services Research of the Department of Psychiatry at the University of Maryland. It works collaboratively with the Maryland State Department of Health and Mental Hygiene and the National Alliance for the Mentally Ill (NAMI), as well as providers and payers. The Center has adopted an integrating theme, "Improving Quality of Care and Patient Outcomes," which will involve the Center in: (a) further developing and refining methods to improve the match between patient needs and services, (b) developing guidelines for the financing and organization of care that meet cost and effectiveness criteria taking into account variations in need and available resources, and (c) testing dissemination strategies to close the gap between research and practice. The specific research aims of the Center are directed at four policy relevant areas: (1) Developing and evaluating evidence-based quality of care criteria for services to persons with SMI and, where evidence is insufficient, evaluating the impacts of service alternatives on patient outcomes, service utilization, and costs; (2) Examining the role of financing mechanisms as a means to encourage efficiency, assure access to appropriate care for persons with SMI, and provide incentives for enhancing patient outcomes; (3) Examining alternative organizational system approaches for managing resources and coordinating services to persons with SMI, and evaluating their impact on quality of care, utilization, patient outcomes, and cost; and (4) Assessing the gaps between current practices and evidence-based quality of care criteria and evaluating the cost and effectiveness of promising dissemination interventions to improve quality of care and patient outcomes. In the next five years core support will make it possible to: (a) strengthen and extend research initiatives related to improving the quality of care and patient outcomes and (b) develop and test effective methodologies for dissemination of research and closing the gap between research and the care received by persons with SMI.