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评估民用健康计划中心理健康护理的质量和价值:对军事健康系统的经验教训及启示

Assessing the Quality and Value of Psychological Health Care in Civilian Health Plans: Lessons and Implications for the Military Health System.

作者信息

Martsolf Grant R, Osilla Karen Chan, Mandel Daniel, Hepner Kimberly A, Farmer Carrie M

出版信息

Rand Health Q. 2016 May 9;5(4):16.

Abstract

The Military Health System (MHS) strives to provide high-quality care and improve outcomes for individuals with psychological health conditions. Over the last decade, the MHS has provided care to a growing number of individuals with psychological health conditions, such as post-traumatic stress disorder (PTSD) and major depressive disorder (MDD). However, little is known about the extent to which the MHS delivers care that is consistent with evidence-based clinical practice guidelines or if it is achieving positive outcomes for its service members. To better understand these issues, the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) asked the RAND Corporation to describe civilian health plansâ; approaches to systematically measuring the quality of psychological health care delivered by providers in their networks. This work was part of a larger effort by RAND to develop a framework and identify a set of measures for monitoring the quality of care provided by the MHS for psychological health conditions.

摘要

军事卫生系统(MHS)致力于为患有心理健康问题的个人提供高质量护理并改善治疗效果。在过去十年中,MHS为越来越多患有心理健康问题的个人提供护理,如创伤后应激障碍(PTSD)和重度抑郁症(MDD)。然而,对于MHS提供符合循证临床实践指南的护理程度,或者它是否为其服务人员取得积极治疗效果,人们知之甚少。为了更好地理解这些问题,国防心理健康与创伤性脑损伤卓越中心(DCoE)要求兰德公司描述民用健康计划在系统测量其网络中提供者提供的心理健康护理质量方面的方法。这项工作是兰德公司为制定一个框架并确定一套用于监测MHS为心理健康状况提供的护理质量的指标而做出的更大努力的一部分。

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