Douglas Susan, Button Suzanne, Casey Susan E
Vanderbilt University, 230 Appleton Place #552, Hobbs 211B, Nashville, TN, 37203, USA.
Astor Services for Children & Families, Bronx, NY, USA.
Adm Policy Ment Health. 2016 May;43(3):286-91. doi: 10.1007/s10488-014-0607-8.
Measurement feedback systems (MFSs) are increasingly recognized as evidence-based treatments for improving mental health outcomes, in addition to being a useful administrative tool for service planning and reporting. Promising research findings have driven practice administrators and policymakers to emphasize the incorporation of outcomes monitoring into electronic health systems. To promote MFS integrity and protect against potentially negative outcomes, it is vital that adoption and implementation be guided by scientifically rigorous yet practical principles. In this point of view, the authors discuss and provide examples of three user-centered and theory-based principles: emphasizing integration with clinical values and workflow, promoting administrative leadership with the 'golden thread' of data-informed decision-making, and facilitating sustainability by encouraging innovation. In our experience, enacting these principles serves to promote sustainable implementation of MFSs in the community while also allowing innovation to occur, which can inform improvements to guide future MFS research.
测量反馈系统（MFSs）除了作为服务规划和报告的有用管理工具外，越来越被视为改善心理健康结果的循证治疗方法。有前景的研究结果促使实践管理人员和政策制定者强调将结果监测纳入电子健康系统。为了促进MFS的完整性并防止潜在的负面结果，采用和实施以科学严谨且实用的原则为指导至关重要。在这一观点中，作者讨论并提供了三个以用户为中心且基于理论的原则示例：强调与临床价值观和工作流程的整合、以数据驱动决策的“金线”促进行政领导，以及通过鼓励创新来促进可持续性。根据我们的经验，实施这些原则有助于在社区中促进MFS的可持续实施，同时也允许创新的发生，这可以为改进提供信息以指导未来的MFS研究。
