Rigaud M C, Newman F L
School of Public Health, University of Illinois at Chicago.
J Ment Health Adm. 1990 Fall;17(2):200-6. doi: 10.1007/BF02521149.
A procedure for matching the clinical characteristics of patients with a dual substance abuse psychiatric disorder to planned treatment resource consumption is described. The procedure uses current standards and practices within the mental health literature on dual diagnosed patients, providing an empirical basis for quality assurance, utilization review, and program evaluation. These procedures permit an empirical linking of clinical service performance to the costs of clinical resources, thereby providing a means of: (a) evaluating program costs in terms of the specific clinical characteristics of patients and (b) planning budgets based on the patients' clinical needs. The methods are sufficiently flexible so that as new clinical research recommend changes in assessment and treatment, the case mix definitions and evaluation procedures can be easily modified.
本文描述了一种将双重物质滥用精神障碍患者的临床特征与计划治疗资源消耗相匹配的程序。该程序采用了心理健康文献中关于双重诊断患者的现行标准和做法，为质量保证、利用审查和项目评估提供了实证依据。这些程序允许将临床服务绩效与临床资源成本进行实证关联，从而提供一种手段：(a) 根据患者的具体临床特征评估项目成本；(b) 根据患者的临床需求规划预算。这些方法具有足够的灵活性，以便随着新的临床研究建议在评估和治疗方面进行改变，病例组合定义和评估程序能够轻松修改。
