Carlier I V E, Meuldijk D, van Vliet I M, van Fenema E M, van der Wee N J A, Zitman F G
Centrum Onderzoek Routine Outcome Monitoring, Afdeling Psychiatrie, LUMC, Leiden.
Tijdschr Psychiatr. 2012;54(2):121-8.
Routine Outcome Monitoring ROM is an important instrument for measuring the effectiveness of treatment and has been implemented in the Dutch mental health care system.
To review the effectiveness of ROM with regard to diagnosis, treatment, and other outcomes.
The literature study focused on randomised controlled trials RCT's of ROM performed on patients of all age groups, some being general patients, others being psychiatric patients. The main search words were 'routine outcome monitoring' or 'routine outcome measurement'.
52 RCTs on adult patients were included in the study; 45 of these trials were performed on patients with mental health problems, but not always in a psychiatric setting or as primary outcome measure. rom appears to have positive effects on diagnosis and treatment and on the communication between patient and therapist. Other results were less clear.
ROM seems to be particularly effective for the monitoring of treatments which have not been entirely successful. Further research needs to be done into the clinical and cost-effectiveness of ROM when used with adults and children who have mental health problems.
常规结果监测（ROM）是衡量治疗效果的重要工具，已在荷兰精神卫生保健系统中实施。
回顾ROM在诊断、治疗及其他结果方面的有效性。
文献研究聚焦于对所有年龄组患者进行的ROM随机对照试验（RCT），其中一些是普通患者，另一些是精神科患者。主要检索词为“常规结果监测”或“常规结果测量”。
该研究纳入了52项针对成年患者的RCT；其中45项试验是针对有心理健康问题的患者进行的，但并非总是在精神科环境中进行，也并非总是作为主要结局指标。ROM似乎对诊断、治疗以及患者与治疗师之间的沟通有积极影响。其他结果则不太明确。
ROM似乎对监测未完全成功的治疗特别有效。对于将ROM用于有心理健康问题的成人和儿童时的临床效果和成本效益，还需要进一步研究。
