a VA Center for Integrated Healthcare , Syracuse , NY , USA.
b VA Center for Integrated Healthcare , Buffalo , NY , USA.
Psychol Health Med. 2017 Dec;22(10):1192-1202. doi: 10.1080/13548506.2017.1290809. Epub 2017 Feb 22.
Routine use of measurement to identify patient concerns and track treatment progress is critical to high quality patient care. This is particularly relevant to the Primary Care Behavioral Health model, where rapid symptom assessment and effective referral management are critical to sustaining population-based care. However, research suggests that women who receive treatment in co-located collaborative care settings utilizing the PCBH model are less likely to be assessed with standard measures than men in these settings. The current study utilized regional retrospective data obtained from the Veterans Health Administration's electronic medical record system to: (1) explore rates of mental health measurement for women receiving co-located collaborative care services (N = 1008); and (2) to identify predictors of mental health measurement in women veterans in these settings. Overall, only 8% of women had documentation of standard mental health measures. Measurement was predicted by diagnosis, facility size, length of care episode and care setting. Specifically, women diagnosed with depression were less likely than those with anxiety disorders to have standard mental health measurement documented. Several suggestions are offered to increase the quality of mental health care for women through regular use of measurement in integrated care settings.
常规使用测量方法来识别患者的关注点并跟踪治疗进展，这对高质量的患者护理至关重要。这对于初级保健行为健康模式尤其重要，在这种模式中，快速症状评估和有效的转介管理对于维持基于人群的护理至关重要。然而，研究表明，在利用 PCBH 模型的协同护理环境中接受治疗的女性，其接受标准评估的可能性低于这些环境中的男性。本研究利用从退伍军人健康管理局电子病历系统中获得的区域性回顾性数据：（1）探索接受协同护理服务的女性的心理健康测量率（N=1008）；（2）确定这些环境中女性退伍军人心理健康测量的预测因素。总体而言，只有 8%的女性有标准心理健康测量的记录。测量结果可由诊断、机构规模、护理时间和护理环境来预测。具体来说，被诊断患有抑郁症的女性比被诊断患有焦虑症的女性更不可能有标准心理健康测量的记录。通过在综合护理环境中定期使用测量方法，提出了一些建议，以提高女性的心理健康护理质量。
