Walkup James T, Yanos Philip T
Rutgers, The State University of New Jersey.
Prof Psychol Res Pr. 2005 Oct;36(5):551-557. doi: 10.1037/0735-7028.36.5.551.
A key element in the identity of professional psychologists is their commitment to base practice on the best knowledge available about a problem being tackled. Although administrative data (e.g., records of provider billing and procedures) can often shed light on the dark areas of the complex U.S. health care system, psychologists make notably little use of them. Experience teaches that decisions must often be made despite the absence of "gold standard" knowledge from the well-designed, controlled studies learned in graduate school. Increased involvement of psychologists in work using administrative data can improve service provision but requires that psychologists adopt unaccustomed approaches to research. The authors discuss administrative data's strengths and limitations, recent progress made in using them, how psychologists can acquire and use low-cost information from administrative data, and examples of questions that can be answered.
专业心理学家身份的一个关键要素是他们致力于将实践建立在有关所处理问题的现有最佳知识基础之上。尽管行政数据(例如提供者计费和程序记录)常常能够揭示美国复杂医疗保健系统中的黑暗角落,但心理学家对其使用得却非常少。经验表明,尽管缺乏研究生院所学的精心设计、对照研究中的“金标准”知识,决策往往仍需做出。心理学家更多地参与使用行政数据的工作能够改善服务提供,但这要求心理学家采用不习惯的研究方法。作者讨论了行政数据的优势和局限性、使用行政数据方面取得的最新进展、心理学家如何从行政数据中获取和使用低成本信息,以及能够得到解答的问题示例。