Wettstein Robert M
University of Pittsburgh School of Medicine, 401 Shady Avenue, Suite B103, Pittsburgh, PA 15206, USA.
J Am Acad Psychiatry Law. 2005;33(2):158-75.
Despite the growing attention to quality and quality improvement in health care in the United States, forensic psychiatry has yet to incorporate relevant developments and information and make quality an important item on the agenda. This article reviews the empirical research regarding the perceived quality of forensic evaluations, which has primarily examined criminal rather than civil forensic evaluations. Beyond the available research, many important policy and empirical questions must be addressed, including the definition of a quality forensic evaluation, the process used to access quality, the indicators and measures used, the methods that provide incentives for performing quality evaluations, the role of forensic psychiatry training programs, and the role of the American Academy of Psychiatry and the Law (AAPL) or other professional organizations in the quality improvement enterprise.
尽管美国医疗保健领域对质量及质量改进的关注度日益提高，但法医精神病学尚未纳入相关进展和信息，也未将质量作为重要议题列入议程。本文回顾了关于法医评估感知质量的实证研究，这些研究主要考察的是刑事而非民事法医评估。除了现有研究之外，还必须解决许多重要的政策和实证问题，包括高质量法医评估的定义、评估质量所采用的流程、所使用的指标和措施、激励进行高质量评估的方法、法医精神病学培训项目的作用，以及美国精神病学与法律学会（AAPL）或其他专业组织在质量改进工作中的作用。
