Carnegie Mellon University, Pittsburgh PA 15213, USA.
Subst Abuse Treat Prev Policy. 2009 Oct 14;4:18. doi: 10.1186/1747-597X-4-18.
Co-occurring mental health and substance use disorders (COD) are the norm rather than the exception. It is therefore critical that performance measures are developed to assess the quality of care for individuals with COD irrespective of whether they seek care in mental health systems or substance abuse systems or both.
We convened an expert panel and asked them to rate a series of structure, process, and outcomes measures for COD using a structured evaluation tool with domains for importance, usefulness, validity, and practicality.
We chose twelve measures that demonstrated promise for future pilot testing and refinement. The criteria that we applied to select these measures included: balance across structure, process, and outcome measures, quantitative ratings from the panelists, narrative comments from the panelists, and evidence the measure had been tested in a similar form elsewhere.
To be successful performance measures need to be developed in such a way that they align with needs of administrators and providers. Policymakers need to work with all stakeholders to establish a concrete agenda for developing, piloting and implementing performance measures that include COD. Future research could begin to consider strategies that increase our ability to use administrative coding in mental health and substance use disorder systems to efficiently capture quality relevant clinical data.
同时存在心理健康和物质使用障碍（COD）是常态而非例外。因此，开发绩效衡量标准来评估 COD 患者的护理质量至关重要，无论他们是否在心理健康系统或物质滥用系统中寻求护理，或者两者都有。
我们召集了一个专家小组，并要求他们使用具有重要性、有用性、有效性和实用性领域的结构化评估工具，对 COD 的一系列结构、过程和结果衡量标准进行评分。
我们选择了 12 项具有未来试点和改进潜力的措施。我们选择这些措施的标准包括：结构、过程和结果衡量标准的平衡，来自小组成员的定量评分，小组成员的叙述性评论，以及该措施在其他类似形式中已经过测试的证据。
要取得成功，绩效衡量标准需要以符合管理者和提供者需求的方式制定。政策制定者需要与所有利益相关者合作，制定一个具体的议程，用于制定、试点和实施包括 COD 的绩效衡量标准。未来的研究可以开始考虑增加我们使用心理健康和物质使用障碍系统中的行政编码来有效地获取与质量相关的临床数据的能力的策略。
