Columbia University, New York City, NY, USA.
Health Aff (Millwood). 2011 Apr;30(4):730-6. doi: 10.1377/hlthaff.2011.0268.
Over the past decade, efforts to measure and improve quality have permeated health policy and health care generally but have barely penetrated mental health and substance abuse care. We review barriers and recent activities in these areas and propose a short list of quality measures to engage the policy and practice community in a discussion about how best to evaluate the care of people with these conditions. Quality measures could include, for example, screening, brief intervention, and referral for alcohol abuse. Because proposing a list is only a first step, we suggest other elements of a broader strategy to bring mental health and substance use care into the mainstream of health care quality improvement.
在过去的十年中，衡量和改善医疗质量的努力已经渗透到卫生政策和整个医疗保健领域，但几乎没有涉及精神健康和药物滥用护理。我们回顾了这些领域的障碍和最近的活动，并提出了一系列简短的质量衡量标准，以促使政策和实践界就如何最好地评估这些人群的护理展开讨论。质量衡量标准可能包括例如对酒精滥用进行筛查、简短干预和转介。因为提出一个清单只是第一步，我们建议更广泛的策略的其他要素，将精神健康和药物使用护理纳入医疗保健质量改进的主流。
