Salzer M S, Nixon C T, Schut L J, Karver M S, Bickman L
Center for Mental Health Policy, Vanderbilt University, Nashville, TN 37212, USA.
Eval Rev. 1997 Jun;21(3):292-309. doi: 10.1177/0193841X9702100302.
Theory and research have not kept pace with the growing interest in evaluating quality of mental health care, resulting in the use of unvalidated quality indicators. A framework for validating quality indicators is offered by which quality is viewed as the relationship between service structures, processes, and outcomes. Adoption of this framework will facilitate the measurement of quality using valid indicators and should be useful to agencies in their continuous quality improvement efforts. Valid information about the quality of mental health care services will help purchasers and consumers make more informed health care decisions.
理论和研究未能跟上人们对评估精神卫生保健质量日益增长的兴趣，导致使用了未经验证的质量指标。本文提供了一个验证质量指标的框架，该框架将质量视为服务结构、过程和结果之间的关系。采用这一框架将有助于使用有效指标来衡量质量，并且应该会对各机构持续的质量改进工作有所帮助。有关精神卫生保健服务质量的有效信息将有助于购买者和消费者做出更明智的医疗保健决策。
