PRINCIPAL RESEARCH CORE (PAGE 399)

加州大学洛杉矶分校/兰德管理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，正在进行的护理质量、有效性和成本效益干预研究将作为正在进行的研究中的新分析和新方向的基础。其次，该核心支持五项试点研究，在中心内开辟新的研究领域。这些新的领域有助于进一步提高我们的精神卫生保健质量的理解，通过使用定性和综合的方法来检查当地的情况和多个利益相关者的需求和观点，对重大精神疾病的护理。这五个试点项目在中心的主题内开辟了新的研究领域，具体如下：试点研究#1开发和方法，以研究在南加州凯撒医疗机构的所有12个区域医疗中心内对抑郁症进行循证实践干预的扩散，这是一个大型集团模型HMO。试点研究#2与消费者，供应商和国家专家合作，为患有服务和持续性精神疾病的高风险监禁或住院的个人调整既定的同伴支持模型。试点研究#3是一项创新方法的试点研究，旨在为提供者提供激励，以改善抑郁症护理。试点研究#4检查父母的观点 关于ADHD儿童的护理质量，并将提供有关父母和提供者对优质护理的看法的相似性和差异的证据。试点研究#5探讨了通过非专业健康促进者的支持和与当地社区组织的联系，改善安全网提供者向未投保的墨西哥裔美国人提供的抑郁症护理的可及性和质量的可行性。总之，这些试点项目提供了关于背景（个人，提供者，系统，社区）因素的新信息，这些因素必须被理解，以改善和传播对主要精神障碍（抑郁症，严重和持续性精神障碍，ADHD）的优质护理。

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).