Dickens Geoff
St Andrew's Academic Centre Research Team, Institute of Psychiatry, Kings College, London, UK.
Br J Nurs. 2009;18(15):940-3. doi: 10.12968/bjon.2009.18.15.43564.
Patient based outcomes tools such as Health of the Nation Outcome Scales can help users and providers to assess whether mental health services promote wellbeing, and can also inform research and clinical audit. With some exceptions, however, completion rates of routine outcomes ratings are poor, and some argue that current tools are not sufficiently service user-oriented. Concurrently, the recovery model as an approach to mental health care, emphasizing concepts such as hope, meaning and sense of self, has come to prominence. The emerging model creates a need to measure whether recovery-led services deliver positive outcomes. To answer this, it is necessary to first ask whether current routine outcomes tools are suitable measures of recovery-related concepts. This article examines the current state of outcomes measurement in UK mental health services in the age of the recovery model and proposes that a twin-track approach is required.
基于患者的结果评估工具，如《国家健康结果量表》，可以帮助使用者和提供者评估心理健康服务是否能促进幸福感，还能为研究和临床审计提供信息。然而，除了一些例外情况，常规结果评级的完成率很低，一些人认为当前的工具对服务使用者的导向性不足。与此同时，作为一种心理健康护理方法的康复模式开始受到关注，该模式强调希望、意义和自我意识等概念。这种新兴模式使得有必要衡量以康复为导向的服务是否能产生积极结果。要回答这个问题，首先需要询问当前的常规结果工具是否适合衡量与康复相关的概念。本文考察了康复模式时代英国心理健康服务中结果测量的现状，并提出需要采取双轨方法。
