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心理健康服务消费者常规结果测量的价值:主人还是仆人?

The value of routine outcome measurement for consumers of mental health services: master or servant?

作者信息

Happell Brenda

机构信息

Department of Health Innovation, CQU Healthy Communities, Centre for Social Science Research, Central Queensland University, Rockhampton, Queensland, Australia.

出版信息

Int J Soc Psychiatry. 2008 Jul;54(4):317-27. doi: 10.1177/0020764008090285.

DOI:10.1177/0020764008090285
PMID:18720892
Abstract

BACKGROUND

Standardized instruments have been introduced for routine use within Victorian mental health services. The aim of routine outcome measurement (ROM) is to ensure the highest standard of service delivery as demonstrated through quality and accountability processes.

AIMS

The aim is to determine the extent to which ROM measure against the 12 principles of outcome measurement described by Smith et al. (1997).

METHOD

The three ROM currently used in Victoria were critiqued according to the 12 principles, with the support of a review of the literature regarding outcome measurement.

RESULTS

Of the 12 principles articulated, nine are not met by ROM currently used in Victoria. Only one is fully met, one partially met and one cannot be conclusively decided either way in light of current knowledge.

CONCLUSIONS

ROM currently utilized in Victoria do not reflect the areas considered of most relevance and importance to consumers of mental health services. Priority should therefore be given to developing an alternative consumer-derived approach to determining the effectiveness of mental health services according to those most affected by them.

摘要

背景

标准化工具已被引入维多利亚州心理健康服务机构以供日常使用。常规结果测量(ROM)的目的是通过质量和问责程序确保提供最高标准的服务。

目的

目的是确定ROM对照史密斯等人(1997年)描述的12项结果测量原则的符合程度。

方法

在关于结果测量的文献综述的支持下,根据这12项原则对维多利亚州目前使用的三种ROM进行了评判。

结果

在阐述的12项原则中,维多利亚州目前使用的ROM未满足其中9项。只有1项得到完全满足,1项部分满足,还有1项根据目前的知识无法得出结论。

结论

维多利亚州目前使用的ROM未反映出对心理健康服务消费者最相关和最重要的领域。因此,应优先开发一种源自消费者的替代方法,根据受心理健康服务影响最大的人群来确定心理健康服务的有效性。

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