CENTER FOR RESEARCH ON SERVICE FOR SEVERE MENTAL ILLNESS

约翰·霍普金斯大学-马里兰大学严重精神疾病服务研究中心(SMI中心)成立于1987年，由约翰·霍普金斯大学卫生与公共卫生学院和约翰·霍普金斯大学医学院以及马里兰大学精神病学系精神卫生服务研究中心共同努力。它与马里兰州健康和精神卫生部门和全国精神疾病联盟(NAMI)以及提供者和付款人合作。该中心采用了“改善护理质量和患者结果”的综合主题，这将涉及中心：(A)进一步开发和改进方法，以改善患者需求和服务之间的匹配，(B)制定满足成本和效果标准的护理筹资和组织指南，同时考虑到需求和可用资源的变化，以及(C)测试传播战略，以缩小研究和实践之间的差距。该中心的具体研究目标针对四个与政策相关的领域：(1)制定和评估为重度精神障碍患者提供的服务的循证护理质量标准，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)研究筹资机制作为一种手段的作用，以鼓励效率，确保重度精神病患者获得适当的护理，并为提高患者结局提供激励；(3)研究管理资源和协调服务的替代组织系统方法，并评估其对护理质量、利用率、患者结局和成本的影响；以及(4)评估当前做法和循证护理质量标准之间的差距，并评估承诺的传播干预措施的成本和有效性，以改善护理质量和患者结果。在接下来的五年中，核心支助将使以下方面成为可能：(A)加强和扩大与改善护理质量和患者结果有关的研究活动，以及(B)开发和测试传播研究的有效方法，并缩小研究与重度精神障碍患者所接受护理之间的差距。

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.