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[自然主义条件下儿童及青少年精神病学治疗效果评估——马尔堡质量保证与治疗评估系统的构想与实施]

[The assessment of therapy outcome in child and adolescent psychiatry under naturalistic conditions--conception and implementation of the Marburg System of Quality Assurance and Therapy Evaluation].

作者信息

Mattejat F, Remschmidt H

机构信息

Klinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Universitätsklinikum Giessen-Marburg, Philipps-Universität Marburg, Standort Marburg, Hans-Sachs-Strasse 6, DE-35033 Marburg.

出版信息

Z Kinder Jugendpsychiatr Psychother. 2006 Nov;34(6):445-54. doi: 10.1024/1422-4917.34.6.445.

Abstract

OBJECTIVES

The objective of and concept behind the Marburg System of Quality Assurance and Therapy Evaluation (MARSYS) are presented. This a modular system with several instruments that is applicable for the evaluation of therapies with psychiatrically ill children and adolescents and can be employed in everyday routine care.

METHODS

The system was tested between 1999 and 2006 in the Marburg project on therapy evaluation in inpatient care. The article presents data from a complete user population with 1,321 patients. Data reporting on the practicability of the system comprise completeness of samples, dropout rates, acceptance of the evaluation among patients and parents, and the input of time and costs.

RESULTS

The results show that the system is very well suited to obtain significant findings with regard to the quality of outcome of the treatments.

CONCLUSIONS

The possibilities of implementing this system are discussed with regard to the matter of costs.

摘要

目的

介绍马尔堡质量保证与治疗评估系统(MARSYS)的目的和理念。这是一个模块化系统,包含多种工具,适用于评估患有精神疾病的儿童和青少年的治疗情况,且可用于日常常规护理。

方法

该系统于1999年至2006年在马尔堡住院护理治疗评估项目中进行测试。本文呈现了来自1321名患者的完整用户群体的数据。关于该系统实用性的数据报告包括样本完整性、脱落率、患者及家长对评估的接受度,以及时间和成本投入。

结果

结果表明,该系统非常适合获取有关治疗结果质量的重要发现。

结论

就成本问题讨论了实施该系统的可能性。

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