PRINCIPAL RESEARCH CORE (PAGE 399)

加州大学洛杉矶分校/兰德管理式医疗质量研究中心的主要研究核心支持两项主要活动。首先，正在进行的关于护理质量、有效性和成本效益干预措施的研究将作为正在进行的研究的新分析和新方向的基础。第二，该核心支持五项试点研究，为中心开辟新的研究领域。这些新领域通过使用定性和综合方法来检查当地情况和多个利益相关者对主要精神疾病护理的需求和观点，有助于进一步了解精神卫生保健的质量改进。五个试点项目在中心的主题中开辟了新的研究领域，如下：试点研究#1开发了一种方法，用于研究在南加州凯撒永久医疗机构的所有12个区域医疗中心中扩散循证实践干预抑郁症的方法，这是一个大型团体模型HMO。试点研究#2发展了与消费者、提供者和国家专家的合作，以适应已建立的同伴支持模式，为患有服务和持续性精神疾病的个人提供监禁或住院的高风险。试点研究#3是一项创新方法的试点研究，旨在激励提供者改善抑郁症治疗。试点研究#4考察了父母的观点

The Principal Research Core of the UCLA/RAND Center for Research on Quality in Managed Care supports two major activities. First, ongoing studies of quality of care, effectiveness and cost-effectiveness interventions will serve as the basis for new analyses and new directions within ongoing studies. Second, this core supports five pilot studies that open new research areas within the Center. These new areas help to further our understanding of quality improvement in mental health care by using qualitative and integrative methods to examine the local context and multiple stakeholders needs and perspectives regarding care for major psychiatric disorders. The five pilots open new areas of research within the Center's theme as follows: Pilot Study #1 develops and approach to study diffusion of evidence-based practice interventions for depression within all 12 regional medical centers of Kaiser Permanente of Southern California, a large group model HMO. Pilot Study #2 develops a collaboration with consumers, providers, and national experts to adapt an established peer support model for individuals with serve and persistent mental illness who are at high risk for incarceration or hospitalization. Pilot Study #3 is a pilot study of an innovative approach for providing incentives to providers to improve depression care. Pilot Study #4 examines parents' perspectives regarding quality of care for children with ADHD and will provide evidence regarding similarities and differences in parents' and providers' views of quality care. Pilot Study #5 explores the desireability and feasibility of improving access to and quality of depression care given by safety-net providers to uninsured Mexican Americans through support from lay health promoters and linkages to local community organizations. Together, these pilots provide new information regarding the contextual (individual, provider, system, community) factors that must be understood to improve and disseminate quality care for major mental disorders (depression, serious and persistent mental disorders, ADHD).