Center for Research on Quality in Managed Care

加州大学洛杉矶分校/兰德管理医疗质量研究中心是一个拟议的高级服务研究中心，建立在我们现有服务研究中心的优势基础上，但重新制定以适应新的目标。关于如何改善主要精神疾病循证治疗的可持续性和传播，以及支持这些疾病的服务提供干预措施，或者如何使这些干预措施适合不同的当地做法、社区环境和人口，人们知之甚少。要实现医疗质量的实质性变化，需要针对医疗保健系统的不同利益相关者和组件进行干预，例如消费者、家庭成员、提供者、实践、政策或社区。该中心的目标是：(1)告知实践、政策制定者和消费者如何减少(从 从社会的角度来看)通过在实践、政策和消费者/社区层面采取干预措施，旨在支持在整个生命周期内持续改善这些疾病的护理质量，从而减轻严重精神障碍的疾病负担。我们专注于质量的四个领域：有效性、效率、以消费者为中心和社区相关性。我们专注于在当地背景下针对公共和私营部门基于社区的、有组织的、有管理的医疗保健系统的干预措施(主要研究核心)；(2)发展一个以社区为基础的、多方利益相关者的联盟，利用该中心开展关于重大精神障碍质量改进的研究，并支持该网络参与、利用和传播中心的结果和产品(研究网络开发核心)；(3)提供科学、行政、预算和技术支持，以推进中心的研究，传播结果和方法，并促进新的调查人员的发展(业务核心)；(4)通过应用和发展定性、定量和综合研究方法，推动开展与中心目标一致的高质量研究的方法学基础，并在社区研究网络伙伴中传播对研究方法的理解(研究方法核心)；。(5)提高对不同人群的护理质量：跨障碍(最初侧重于抑郁症、精神分裂症和注意力缺陷)。 不同年龄群体，以及族裔多样化的低收入群体。

The UCLA/RAND Center for Research on Quality of Managed Care is a proposed Advanced Services Research Center built upon the strengths of our current Services Research Center but reformulated to match new aims. Little is known about how to improve the sustainability and dissemination of evidence-based treatments for major psychiatric disorders and service delivery interventions that support them, or how to fit such interventions to diverse local practices, community settings, and populations. Achieving substantial changes in quality of care will require interventions targeted at different stakeholders and components of the healthcare system, such as consumers, family members, providers, practices, policy, or communities. The aims of the Center are: (1) To inform practices, policymakers, and consumers about how to reduce (from a societal perspective) the burden of illness for major psychiatric disorders, through interventions at the levels of practice, policy, and consumer/community, that are designed to support sustained improvement in the quality of care for these disorders across the lifespan. We focus on four domains of quality: effectiveness, efficiency, consumer-centeredness, and community relevance. We focus on interventions targeted at community-based, organized, managed healthcare systems in the public and private sectors within their local context (Principal Research Core); (2) To develop a community-based, multi-stakeholder consortium that uses the Center to develop research on quality improvement for major mental disorders and to support the network in participating in, utilizing, and disseminating Center findings and products (Research Network Development Core); (3) To provide scientific, administrative, budgetary, and technical support to advance the Center's research, disseminate findings and approaches, and facilitate the development of new investigators (Operations Core);(4) To advance the methodological basis for conducting high-quality research consistent with the Center's aims through application and development of qualitative, quantitative, and integrated research methods, and to disseminate understanding of research methods among community-based research network partners (Research Methods Core); (5) To improve quality of care for diverse populations: across disorders (focusing initially on depression, schizophrenia, and attention deficit disorder); age groups; and ethnically diverse, low-income populations.