White River Junction Veterans Affairs Medical Center (WRJ VAMC), White River Junction, Vermont 05009, USA.
Psychiatr Serv. 2012 Jan;63(1):91-3. doi: 10.1176/appi.ps.201100323.
Measurement-based care has been endorsed but not embraced in mental health settings. There is currently little guidance regarding the best methods to implement measurement-based care.
A survey of mental health providers was conducted before (N=15) and after (N=17) the implementation of a patient self-report symptom measurement system.
At baseline, respondents rarely used the patient self-assessment information (mean±SD=1.8±1.8); they reported the patient data to be marginally useful (4.1±1.9), and only slightly recommended the use of patient assessments (4.3±2.0). Possible scores ranged from 1 to 7, with higher scores indicating more positivity. At follow-up, respondents almost always used the information in the assessments (6.3±1.7), found the patient report data very useful (6.4±.8), and highly recommended continued use of patient surveys in the integrated clinic (6.6±.5).
Providers' lack of enthusiasm about integration of routine data collection and reporting of patient symptoms may be overcome by simply exposing providers to this process.
基于测量的护理方法已在精神卫生领域得到认可，但尚未得到广泛应用。目前，关于实施基于测量的护理的最佳方法的指导很少。
在实施患者自我报告症状测量系统之前（N=15）和之后（N=17），对精神卫生提供者进行了调查。
在基线时，受访者很少使用患者自我评估信息（平均值±标准差=1.8±1.8）；他们报告患者数据略有帮助（4.1±1.9），仅略微推荐使用患者评估（4.3±2.0）。可能的分数范围为 1 到 7，分数越高表示越积极。在随访时，受访者几乎总是使用评估中的信息（6.3±1.7），发现患者报告的数据非常有用（6.4±.8），并强烈建议在综合诊所中继续使用患者调查（6.6±.5）。
通过简单地让提供者接触到这个过程，可以克服提供者对常规数据收集和报告患者症状的整合缺乏热情的问题。
