Eisen S V, Leff H S, Schaefer E
Department of Mental Health Services Research, McLean Hospital, Belmont, MA, USA.
J Behav Health Serv Res. 1999 Feb;26(1):18-27. doi: 10.1007/BF02287791.
With increasing pressure from third-party payers to assess client outcomes, clinical programs want to know how to implement outcome systems. This article focuses on practical and logistic questions involved in implementing an outcome assessment system in ambulatory behavioral healthcare settings. Study questions addressed outcome systems in general and the use of the Behavior and Symptom Identification Scale (BASIS-32) and the Short Form Health Status Profile (SF-36) in particular. General questions focused on obtaining provider buy-in, client consent and confidentiality, data collection methods, sampling, time points, maximizing client participation, clinical utility of outcome data, and resources needed for outcome assessment. Measure-specific questions focused on client acceptability of the instruments and applicability of measures to diverse populations. The article suggests several strategies for enhancing outcome assessment efforts and concludes that there remains a need for further understanding of ways to maximize the utility and value of outcome measurement.
随着第三方付款人对评估客户治疗效果的压力不断增加，临床项目希望了解如何实施效果评估系统。本文重点关注在门诊行为医疗环境中实施效果评估系统所涉及的实际和后勤问题。研究问题总体上涉及效果评估系统，尤其关注行为与症状识别量表（BASIS - 32）和简短健康状况量表（SF - 36）的使用。一般性问题集中在获得提供者的认可、客户同意与保密、数据收集方法、抽样、时间点、最大限度提高客户参与度、效果数据的临床实用性以及效果评估所需资源。针对具体测量工具的问题集中在工具的客户可接受性以及测量工具对不同人群的适用性。本文提出了几种加强效果评估工作的策略，并得出结论，仍需要进一步了解如何最大限度地提高效果测量的效用和价值。
