Lyons John S, Rawal Purva, Yeh Irene, Leon Scott C, Tracy Peter
Mental Health Services & Policy Program, Northwestern University Medical School, 339 East Chicago Avenue, Room 717, Chicago, IL 60611, USA.
J Behav Health Serv Res. 2002 Feb;29(1):75-80. doi: 10.1007/BF02287834.
With the growing emphasis on accountability in mental health services, outcomes management strategies are gaining popularity. However, for these techniques to be credible, it is necessary to ensure the reliability of clinical data. In other words, outcomes measures must accurately reflect the actual status of service recipients. This article presents the use of the measurement audit as one means of monitoring and improving the reliability of outcomes measurements. The methods and findings from an audit of crisis assessment workers for children in state custody are presented. Clinical assessments completed at the time of service were compared with assessments using the same measure completed via retrospective file review. Findings suggest generally good reliability, 0.72 overall, with some variation by provider and type of information.
随着心理健康服务中对问责制的日益重视，结果管理策略越来越受欢迎。然而，要使这些技术可信，就必须确保临床数据的可靠性。换句话说，结果测量必须准确反映服务对象的实际状况。本文介绍了使用测量审核作为监测和提高结果测量可靠性的一种方法。文中呈现了对处于国家监护下儿童的危机评估工作人员进行审核的方法和结果。将服务时完成的临床评估与通过回顾性档案审查使用相同测量方法完成的评估进行了比较。结果表明总体可靠性良好，整体为0.72，不同提供者和信息类型存在一些差异。
