常规结果监测以支持改善精神分裂症的护理：来自 VA 心理健康 QUERI 的报告。
Routine outcomes monitoring to support improving care for schizophrenia: report from the VA Mental Health QUERI.
机构信息
VA Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC), West Los Angeles VA, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA.
出版信息
Community Ment Health J. 2011 Apr;47(2):123-35. doi: 10.1007/s10597-010-9328-y. Epub 2010 Jul 25.
Abstract
In schizophrenia, treatments that improve outcomes have not been reliably disseminated. A major barrier to improving care has been a lack of routinely collected outcomes data that identify patients who are failing to improve or not receiving effective treatments. To support high quality care, the VA Mental Health QUERI used literature review, expert interviews, and a national panel process to increase consensus regarding outcomes monitoring instruments and strategies that support quality improvement. There was very good consensus in the domains of psychotic symptoms, side-effects, drugs and alcohol, depression, caregivers, vocational functioning, and community tenure. There are validated instruments and assessment strategies that are feasible for quality improvement in routine practice.
摘要
在精神分裂症中，能够改善预后的治疗方法尚未得到可靠的推广。改善治疗效果的一个主要障碍是缺乏常规收集的结局数据，这些数据可以识别那些治疗效果不佳或未接受有效治疗的患者。为了支持高质量的医疗服务，VA 心理健康 QUERI 通过文献回顾、专家访谈和全国小组讨论，就结局监测工具和支持质量改进的策略达成了更多共识。在精神病症状、副作用、药物和酒精、抑郁、护理人员、职业功能和社区居住方面，专家们的意见非常一致。目前已经有经过验证的工具和评估策略，它们在常规实践中具有改善质量的可行性。
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