VA Ann Arbor National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, Michigan 48105, USA.
Can J Psychiatry. 2010 Sep;55(9):549-57. doi: 10.1177/070674371005500903.
The purpose of our paper is to delineate the barriers to mental health quality measurement, and to identify strategies to enhance the development and use of quality measures by mental health providers, programs, payers, and other stakeholders in the service of improving outcomes for people with mental health and substance use disorders. Key reasons for the lag in mental health performance measurement include lack of sufficient evidence regarding appropriate mental health care, poorly defined quality measures, limited descriptions of mental health services from existing clinical data, and lack of linked electronic health information. We discuss strategies for overcoming these barriers that are being implemented in several countries, including the need to have quality improvement as part of standard clinical training curricula, refinement of technologies to promote adequate data capture of mental health services, use of incentives to promote provider accountability for improving care, and the need for mental health researchers to improve the evidence base for mental health treatment.
本文旨在描述精神健康质量测量的障碍，并确定策略，以增强精神健康提供者、计划、支付者和其他利益相关者开发和使用质量措施的能力，从而改善精神健康和物质使用障碍患者的结果。精神健康绩效管理滞后的主要原因包括缺乏关于适当精神保健的充分证据、质量措施定义不明确、现有临床数据对精神保健服务的描述有限，以及缺乏电子健康信息的链接。我们讨论了一些国家正在实施的克服这些障碍的策略，包括需要将质量改进作为标准临床培训课程的一部分，改进技术以促进充分捕捉精神保健服务的数据，利用激励措施来促进提供者为改善护理而承担责任，以及精神健康研究人员需要改善精神健康治疗的证据基础。
