Center for Research on Quality in Managed Care

加州大学洛杉矶分校/兰德管理式医疗质量研究中心是一个拟议的高级服务研究中心，建立在我们目前的服务研究中心的优势基础上，但重新制定，以适应新的目标。关于如何提高重大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应不同的地方实践，社区环境和人群，人们知之甚少。实现医疗质量的实质性变化将需要针对医疗保健系统的不同利益相关者和组成部分（如消费者、家庭成员、提供者、实践、政策或社区）进行干预。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（从一个 社会观点），通过在实践、政策和消费者/社区层面的干预措施，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，减轻主要精神疾病的疾病负担。我们专注于四个质量领域：有效性，效率，以消费者为中心和社区相关性。我们专注于针对当地公共和私营部门中以社区为基础的、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）建立一个以社区为基础的多方利益相关者联盟，利用中心开展关于重大精神障碍质量改善的研究，并支持网络参与，利用，中心的研究结果和产品（研究网络发展核心）;（3）提供科学、行政、预算和技术支持，以推进中心的研究，传播研究成果和方法，并促进新研究人员的发展（4）通过应用和发展定性、定量和综合研究方法，推进与中心目标相一致的高质量研究的方法基础，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）提高不同人群的护理质量：跨疾病（最初关注抑郁症、精神分裂症和注意力缺陷 疾病）;年龄组;和种族多样化，低收入人群。

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.